Baptism Registration

Ceremony Day/Time Preference*

This is not a hold or a guarantee.

Ceremony Language*

English
Spanish
Bilingual

Was the Child Already Baptized in an Emergency?*

If Yes, When?*

Child's Information

Full Name of Child*

First Middle Last

Child's Date of Birth*

Place of Birth*

City State / Province / Region Country

Is Child Adopted?

No
Yes

Contact Information

Home Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone*

Secondary Phone

Primary Email*

Enter Email Confirm Email

Secondary Email

Enter Email Confirm Email

Parent's Information

Father's Full Name*

First Middle Last

Father's Religion*

Please Specify:*

Mother's Maiden Name*

First Middle (Maiden Last Name)

Mother's Religion*

Please Specify:*

Parent's Marital Status

Marital Status*

Name of Church*

Parish Registration

Parish Registration Status*

COTLF Parishioner
Registered at Another Parish
I would to become a registered parishioner at COTLF

Envelope Number*

What Parish Are You Registered At?*

Godparent's Options

Godparents Selection*

Both a Godmother and a Godfather
Only a Godfather
Only a Godmother

Godfather's Information

Godfather's Full Name*

First Middle Last

Name of the Church where Godfather is Registered and Active:*

Godfather's Religion*

Godfather's Sacramental History*

Baptized
Received First Holy Communion
Confirmed
Married

Check all that apply.

Marriage Information*

Married in the Catholic Church
Married Civilly Only

Name of the Church Where Godfather was Married:*

Godmother's Information

Godmother's Full Name*

First Middle Last

Name of the Church where Godmother is Registered and Active:*

Godmother's Religion*

Godmother's Sacramental History*

Baptized
Received First Holy Communion
Confirmed
Married

Check all that apply.

Marriage Information*

Married in the Catholic Church
Married Civilly Only

Name of the Church Where Godmother was Married:*

Proxy Information (If Applicable)

Is Either Godparent Being Represented by a Proxy?

Proxy Name*

Second Proxy Name*

Consent*

We agree.

Both parents consent to have the child named above Baptized into the Roman Catholic Church at Church of the Little Flower, Coral Gables, FL.
All supporting documentation is required in order to reserve/schedule a Baptism Date.

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Email

This field is for validation purposes and should be left unchanged.