Baptismal Certificate Form | Saint James Parish | Arlington Heights Catholic Church

Baptism Certificate Information Form

This information will be used to create the baptism certificate for your upcoming baptism. Please double check spelling and dates before submitting.

Confirmed Date of Baptism(Required)

Child's Full Name(Required)

First Middle Last

Date of Birth(Required)

Male/Female(Required)

City/State of Birth(Required)

Father's Name(Required)

First

Father's Name(Required)

Last

Mother's Name(Required)

First

Mother's Name(Required)

Last Married & Maiden (if applicable)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Best Phone to Reach You(Required)

Email(Required)

Place of Marriage (Church/Other Venue & City/State

Godparent #1 Full Name(Required)

First Last

Godparent #2 Full Name

First Last

Are you a member of St. James?(Required)