Divine Mercy Parish
Baptism Information Form

We celebrate Baptisms at both Sacred Heart Church and St. Philip the Apostle Church, except during Lent.

For further information, please contact our Baptism Coordinator at 847-446-0856.

Questions about completing this form? Please email Megan Nolan: megan@divinemercynorthshore.org.

______________________________________________________________________________

Requested Baptism Date * +

Name of Child (First, middle, last--as it appears on birth certificate) *

Date of Birth * +

City and State of Birth *

Father's Name (as it appears on birth certificate) *

Religion

Rite

Mother's Full Maiden Name (on birth certificate) *

Religion

Rite

Mailing Address *

City/Town/Village *

State *

ZIP *

______________________________________________________________________________

Mother Cell Phone *

Mother Email Address *

Father Cell Phone *

Father Email Address *

Church of Marriage

City and State

______________________________________________________________________________

Parent's Parish *

Godfather's Name *

Is he a practicing Catholic? *

Godmother's Name *

Is she a practicing Catholic? *

Christian Witness (if applicable)

Religion

______________________________________________________________________________

Are any of the Godparents to be represented by a proxy? *

Was the child adopted? *

Was the child privately baptized? *

Do we have your permission to share photos from your child's baptism in Divine Mercy Parish communications? *

Yes

No

Do we have your permission to celebrate the news of the baptism in our Worship Aid? *

Yes

No

Divine Mercy ParishBaptism Information Form

Divine Mercy Parish
Baptism Information Form