Baptism

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Street REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Requested Date of Baptism (2nd or 4th Sunday of Month) REQUIRED Please fill out this field. Please enter a date.

Full Name of Person being Baptized: REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field. Please enter valid data.

Date of Birth: REQUIRED Please fill out this field. Please enter valid data.

Place of Birth REQUIRED Please fill out this field. Please enter valid data.

Mother Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name (if applicable) Please enter valid data.

Faith of the mother Catholic Christian Protestant Episcopal Jewish

If not listed what is the faith of the mother Please enter valid data.

Father Full Name REQUIRED Please fill out this field. Please enter valid data.

Faith of the father Catholic Christian Protestant Episcopal Jewish

If not listed what faith is father? Please enter valid data.

Marital Status of Parents REQUIRED Please fill out this field.

Were you married in a Catholic Church REQUIRED Yes No Please fill out this field.

If "yes", what was the name of the church. Please enter valid data.

If "no", where were you married and what is the address? Please enter valid data.

Full Name Godfather REQUIRED Please fill out this field. Please enter valid data.

Faith of the Godfather Catholic Christian Protestant Episcopal Jewish

If not listed what faith is the Godfather? Please enter valid data.

Full Name of Godmother REQUIRED Please fill out this field. Please enter valid data.

Faith of the Godmother Catholic Christian Protestant Episcopal Jewish

If not listed what faith is Godmother? Please enter valid data.

Catholic Godparents Letters of Eligibility are due 2 weeks prior to the Baptism. They can be emailed to preprus@comcast.net or you can put in the rectory mail slot at 110 Park Street.

Any non-catholic Godparent is required to have a Letter of Good Standing from their Church. This too is due 2 weeks prior to the Baptism.

Baptismal Fee100.0

St. Madeline Parish

Rectory - 110 Park Street, Ridley Park
Church - 400 Morton Avenue, Ridley Park

Baptism

Baptism