Saint Eugene Baptism Request Form

Please select your requested date.
Child's Full Name including middle name *
Child's Full Name including middle name
Child's Date of Birth *
Child's Date of Birth
Mother's Full Name including middle name *
Mother's Full Name including middle name
Father's Full Name including middle name *
Father's Full Name including middle name
Phone number *
Phone number
Address *
Address
Date of Baptism Class
Date of Baptism Class
Godparents *
Godparents
At least one Godparent must be a confirmed adult Catholic. There may be one male and one female Godparent. Any others are considered as a Christian witness
2nd Godparent *
2nd Godparent