Baptismal Register

Step 1 of 2

Family Information

Name of Child(Required)
Child's Gender(Required)
MM slash DD slash YYYY
Father's Name
Affiliation
Mother's Name
Affiliation
Are the father and mother married to each other?
Address
Registered members of Immaculate Conception?

Godparent Information

Affiliation
Affiliation

Baptism Class

Have you attended baptism class before?
To schedule a Baptism for your child, please call the parish office at 573-635-6143 after you have completed the baptismal class. Please allow 2-3 weeks prior to baptism to complete required documents.

FOR OFFICE ONLY

MM slash DD slash YYYY
Baptism Time
: