Baptism Intake for Holy Rosary Church-Seattle

This is Holy Rosary-Seattle's Baptism Intake form from Birth through age 6. For age 7 and older, please email Sr. Stella at SrStella@holyrosaryseattle.org. Thank you, Deyette Swegle

Family Name *

Child's Gender *

Boy

Girl

Baby not born.

Child's Full Name (including middle names) *

Please indicate parish of intended baptism *

Holy Rosary Parish, West Seattle

Other Catholic Church

Date of Birth (if not born, can enter Estimated Delivery Date) * +

City & State of Birth (if outside of U.S. please list Country & Region) *

We require proof of birth information, please provide a copy of the child's birth certificate scanned and emailed to dswegle@holyrosaryseattle.org or brought into the parish office attention Deyette Swegle.

Contact information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Parent/Guardian 1 Information

Full Legal Name as it would appear on your Birth Certificate (include middle name) *

Cellphone number *

Parent/Guardian 1 Email Address *

Religious Affiliation *

Please indicate which Roman Catholic Sacraments (if any) received by the Father of the child: *

Parent/Guardian 2 Information (if not available please enter N/A)

Full Legal Name as it would appear on your Birth Certificate (include middle name) *

Parent/Guardian 2 Cellphone number *

Parent/Guardian 2 Email Address *

Religious Affiliation *

Please indicate which Roman Catholic Sacraments (if any) received by the Mother of the child: *

Are you married? *

Yes

No No

Sacrament of Matrimony: If you are married, did you get married in a Catholic Church with a bishop, priest, deacon presiding? OR Did you receive permission from the Catholic Church to be married elsewhere? *

Yes

No No

Have you previously attended Baptism Preparation Classes? *

Yes

No

If you have taken Baptism preparation classes previously, please indicate which year:

Are you registered parishioners of Holy Rosary Parish in Seattle, Washington? *

Yes

No No

Is one of the Child's parents/guardian's an actively Practicing Roman Catholic? *

Yes

No No

If you have a child enrolled in Holy Rosary School, is it okay for us to announce your child's baptism in our efc?

Yes

No

Is there any other information that you would like us to know regarding your child's baptism?

Parish to be Baptized In

Name of Parish *

Do you have a date or estimated date for Baptism? *

Name of Priest who will baptize your child: *

Name of Contact at Parish

Street Address *

Address Line 2

City *

State *

Country *

Zip Code *

Phone Number *

Email Address

What does the Church of Baptism require of Holy Rosary Church? Please list below any required paperwork or other items needed prior to Baptism. *

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