Baptism Request Form

Please complete this form if you would like to have your child baptized at either the Church of St. Mary in Willmar, Our Lady of the Lakes in Spicer or St. Clara in Clara City.

One of the priests will contact you to set a date for the baptism or to register you for Baptism Preparation Class.

All parents who are having their first child baptized need to attend a Baptism Preparation Class.

As the person completing this request form, please indicate your relationship to the child. *

As the person completing this request form, please indicate your relationship to the child. Mother Father Legal Guardian
Your Name Your Name * First Last
Best phone number to reach you Best phone number to reach you * - ### - ### ####
What type of phone number is the one above? *

What type of phone number is the one above? Cell Home (land line) Work
Email *
CHILD

The following information is about the child being baptized
Child's Full Name Child's Full Name * First Middle Last
Date of Birth Date of Birth * / MM / DD YYYY
Place of Birth (City, State) *
Gender *

Gender Female Male
PARENTS

Information about the parents of the child
Father's Full Name *
Father's Religion *
Mother's Full Name *
Mother's Religion *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parish Where You are Registered

Parish Where You are Registered Our Lady of the Lakes, Spicer St. Clara, Clara City St. Mary, Willmar Other (Please Specify) Other (Please Specify)
Where would you like your child to receive the Sacrament of Baptism?

Where would you like your child to receive the Sacrament of Baptism? St. Mary, Willmar Our Lady of the Lakes, Spicer St. Clara, Clara City
Is this your first child receiving the Sacrament of Baptism? *

Is this your first child receiving the Sacrament of Baptism? Yes No
Have You Previously Attended a Pre-Baptismal Class? *

Have You Previously Attended a Pre-Baptismal Class? Yes No
Baptism Class

If this is your first child receiving the Sacrament of Baptism, you will need to attend Baptism Preparation Class.
Where Married (City & Church)? *
If Not Married in a Catholic Church, was Catholic Permission Obtained? *

If Not Married in a Catholic Church, was Catholic Permission Obtained? Yes No Married in a Catholic Church
SPONSORS

One of the sponsors is required to be Catholic.
Sponsor 1 *
Catholic? *

Catholic? Yes No
Sponsor 2
Catholic?

Catholic? Yes No
Other Witnesses:
Other comments you want the priest to know prior to contacting you
PARISH USE ONLY

The information below will be entered by the priest or parish personnel.

Proxy:

Date of Baptism:

Sacrament Performed by:

During Mass? Y / N

Baptism Request Form

Baptism Request Form

CHILD

PARENTS

Baptism Class

SPONSORS

PARISH USE ONLY