Please print all information clearly
For other considerations or permissions, please contact the parish office.
Mother's Full Name (as stated on Child's Birth Certificate, including Maiden Name.
Father's Full Name (as stated on Child's Birth Certificate) First, Middle, Last
Family Address (including city, state & zip code)
If divorced, please attach legal documentation verifying guardianship of this child.
If no, please provide the name and address of the Catholic parish where you are registered and/or attending.
A godparent is a practicing Catholic who has received all 3 Sacraments of Initiation (Baptism, Confirmation, and Holy Eucharist), attends Mass regularly, is at least 16 years of age, practices Christian living and is committed to help raise the godchild in the Catholic Faith.
A Christian Witness practices a Christian religion other than the Catholic Faith, has received Christian baptism in that faith, regularly attends services in that faith, is at least 16 years of age, and practices Christian living.
Name of Church, City and State in which the Christian Witness practices his/her faith.
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