Request a Baptism – St Brendan the Navigator

Child's Full Name*

First Middle (if any) Last Suffix (if any)

Child's Date of Birth*

Child's Place of Birth*

City State / Province / Region Country

Father's Name*

First Last

Baptized?*

(Please pick one)

Mother's Name (include maiden name)*

First Last Maiden

Baptized?*

(Please pick one)

Parent's Mailing Address*

Street Address Address Line 2 City State ZIP Code

Family Email Address*

Phone Number*

Are the parents married?*

Answering this question does not influence whether your child can be baptized or not

Yes
No

Where did your wedding take place?*

Please Note

Catholics in the following situations are not eligible to be godparents or Christian Witnesses:
- Catholics who no longer attend mass and practice their faith;
- Catholics who have remarried outside the Church without an annulment of their first marriage;
- Catholics who have left the Catholic Church to worship in another Christian denomination.

Godfather's Name*

First Last

Religion*

At least one Godparent MUST be Catholic (Baptized and Confirmed), but a non-Catholic, validly baptized Christian may act as a Christian Witness. PLEASE CHECK the document under Further Resources on the Baptism page for Christian Communities whose baptism we recognize as valid.

Catholic

Godfather's church of baptism*

Please confirm that the Godfather is a practicing Catholic, both baptized and confirmed, who attends Mass regularly OR is a Christian Witness baptized in another Christian Denomination recognized by the Catholic Church who attends church regularly.*

I confirm.

Godmother's Name*

First Last

Religion*

At least one Godparent MUST be Catholic (Baptized and Confirmed), but a non-Catholic, validly baptized Christian may act as a Christian Witness. PLEASE CHECK the document under Further Resources on the Baptism page for Christian Communities whose baptism we recognize as valid.

Catholic

Godmother's church of baptism*

Please confirm that the Godmother is a practicing Catholic, both baptized and confirmed, who attends Mass regularly OR is a Christian Witness baptized in another Christian Denomination recognized by the Catholic Church who attends church regularly.*

I confirm.

Have you, the parent of the child being baptized, attended a Baptism Preparation Course in the last two years?*

If the answer is "No," please contact the Parish Office to sign up for a class. You can email us at baptisms@stbrendans.net or call us at 614.876.1272, to check the calendar for available dates.

Yes
No

First choice date for baptism*

Second choice date for baptism*

Third choice date for baptism*