School-Aged Baptism Form

Child’s Full Name*
First Middle Last
Today’s Date*
MM slash DD slash YYYY
Date of Birth*
MM slash DD slash YYYY
Place of Birth:*
School Attending:*
(If OTHER, please specify):*
Grade:*
Please enter a number from 0 to 12.
REGISTERING PARENT'S FULL MAILING ADDRESS*
Street Address City Postal Code
FATHER’S NAME:*
First Middle Last
Father’s Religion*
MOTHER'S NAME:*
First Middle Last
MAIDEN NAME:*
Mother's Religion*
Sponsor(s) :
Sponsor’s Religion:
PROXIES (if any):

A proxy is someone who will represent your chosen godparent at the baptism.
Proxy’s Religion:
HOME MAILING ADDRESS*
Street Address City Postal Code
HOME PHONE #:*
CELL PHONE #:
Email*
WE ATTEND MASS AT ST. PETER’S PARISH:*
- YES
- NO
(If not, please indicate parish):*
Additional Information
Why is the child seeking Baptism? Is there support from the child's family?

541 Silvergrove Dr. NW
Calgary, Alberta T3B 4R9