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Infant Baptismal Registration

- Sacraments
  - Sacraments of Healing
    
    Anointing of the Sick
    Reconciliation
  - Sacraments of Initiation
    
    Baptism
    
    Infant Baptism
    
    Infant Baptismal Registration
    
    Role of Godparents
    
    Confirmation
    Eucharist
  - Sacraments of Service
    
    Marriage
    Holy Orders

If you are looking to have your Infant or young child baptized, please fill out this form below. This form is to be used for children up to 7 years old. Please also email a copy of the Birth Certiifcate to the office at parish@olpworcester.org.
The maximum number of form submissions has been reached. This form is currently not available.
- Child's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Current 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.
- Father's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's Information
  
  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.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Godfather's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion of Godfather REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmed Catholic? REQUIRED
  Has the godfather received the sacrament of confirmation?
  Please fill out this field.
- Godmother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion of Godmother REQUIRED Please fill out this field. Please enter valid data.
  
  Confirmed Catholic REQUIRED
  Has the godfather received the sacrament of confirmation?
  Please fill out this field.
- Proxy Information (To be completed only if Godparent will not be present)
  
  Is a Proxy needed for the Godfather? REQUIRED
  A proxy is needed only if the godparent cannot be present for the present?
  Please fill out this field.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Is a proxy needed for the godmother? REQUIRED
  A proxy is needed only if the godparent cannot be present for the present?
  Please fill out this field.
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Baptism Ceremony
  
  Anticipated Date REQUIRED
  What date would you like to try to have for the baptism?
  Please fill out this field. Please enter a date.
  
  Time REQUIRED
  On Sunday's Baptisms can be performed during mass or following mass.
  Please fill out this field. Please enter valid data.
  
  Minister Requested REQUIRED Please fill out this field.
Submit

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St. Bernard's Catholic Church of
Our Lady of Providence Parish

Your neighborhood church

Infant Baptismal Registration