Baptism Registration

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The maximum number of form submissions has been reached. This form is currently not available.
- Use the form below to register your child for the Sacrament of Baptism. To schedule your child's baptism, call the parish office at 563-547-3565.
- Child's First Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Child's Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Parent's Information
  
  Father:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Photo Release (Authorization for parish to take pictures at Baptism and use in newsletter and/or close circuit tv slide show).
  
  I Agree Please select this field.
- Check if you are members of Notre Dame Parish REQUIRED Father Mother Please fill out this field.
- If you are not members of Notre Dame, please list the parish you are members of below and their contact information: Please enter valid data.
- Number of Pews to be Reserved REQUIRED Please fill out this field.
- Godparents
  
  One Godparent needs to be Catholic.
  
  Godmother's Full Name Please enter valid data.
  
  Godmother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Godmother's Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Godfather's Full Name Please enter valid data.
  
  Godfather's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Godfather's Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Will either godparent be represented by a proxy? REQUIRED Please fill out this field.
  
  If yes, who will be standing in their place as a witness? Please enter valid data.
  
  Which of our upcoming classes would you like to register for? REQUIRED
  All classes will be held at 7PM in the Church.
  Please fill out this field.
- Please leave any other information you would like us to know below:
Submit

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Baptism Registration

Notre Dame Parish

Notre Dame School