Baptism Application
Before Baptism, please fill out this form online, print it out and bring it or mail it to St. Augustine Church, 35 Essex St., Andover, MA 01810.
Name of Child
First Middle Last
Date of Birth Place of Birth Parents are required to present copy of Birth Certificate
Home Address
Street Address/Apt. No. City/Town Zip
Phone
Father's Legal Name Religion
Mother's First Name and Maiden Surname Religion
Church and Place of Marriage
Are you a registered member of St. Augustine Parish?
If no, please explain reason for requesting Baptism at St. Augustine Church
Was the Child Privately Baptized? Yes No Was the Child Adopted? Yes No (A special authorization needed for Baptism of an adopted child)
Please refer to our web site on choosing Godparents. If one is to be a Christian witness, indicate precisely to which denomination he or she belongs.
Godfather's Legal Name Religion
Godmother's Legal Name Religion
Is either Godparent represented by proxy? Yes No If so, which one?
Name of Person Who Filled Out This Form
Date of Preparation Class Date of Baptism
Parents are required to fulfill the Parish program concerning preparation for Baptism
Name of Priest _________________________________________________________________