St. Raphael Catholic Church Infant Baptism Registration Form

Infant baptism registration

Please complete all fields. using a computer, not a smart phone. You will be prompted to our OSV gifting site for a Baptism Donation of at least $100.00. Your Baptism registration is not complete and a date will not be set without submitting the donation. After you submit the donation, please go back to the form and click submit.
Child's Information
Child's Name*

First NameMiddle NameLast Name
Select Gender Below:*

FemaleMale
Birth Date*

MonthDayYear
City, State of Birth*

CityState of Birth
Parent information

Mother and Father Information
Father's Information*

First NameLastReligion
Mother's Information*

First NameLast NameMaiden NameReligion
Mother & Father Address*

Street Address

Street Address Line 2

City

Zip Code
Parent Contact Information*

Mom's Cell PhoneMom's EmailDad's Cell PhoneDad's Email
Parish information

Mother and Father Information
Were you married in the Catholic Church? Please respond yes or no and provide the date of marriage.*
Church of Marriage- please provide Church name, City and State
Are you registered at St. Raphael Parish?*

YesNo
If you answered no to the above question, name of immediate relative registered (parent, grandparent, sibling)
Was the child previously baptized with water?

YesNo
Godparent information

*Godparents must be a baptized, confirmed, practicing Catholic at least 16 years old. You may have one godparent or one of each gender.
Godfather's Name*

FirstLast ReligionAge
Godmothers Name*

FirstLast ReligionAge
2025-2026 Baptism Dates

.
Baptism Date First Choice*

MonthDayYear
Date
Baptism Date Second Choice*

MonthDayYear
Date
Parents MUST attend a Baptism Information Class prior to your first child's baptism. If you have attended a class within the last five years, either at St. Raphael or another parish, attendance is not required. You will be provided with class dates upon reciept of this form.
Yes I attended class on . If you attended a Baptism Class outside of St. Raphael, verification is required.
Please click the below image and you will be directed to the OSV giving baptismal donation site.
Thank you for filling out this form and for your payment. Please provide any details we may need to know.
Once you make the online payment, please forward the confirmation of payment receipt to lpenkala@st-raphael.com. Deacon Len will confirm the Baptism date once the form is complete and the donation has been received.

Questions? Please contact Deacon Len Penkala, at 630-615-7616 or lpenkala@st-raphael.com
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Infant baptism registration

Child's Information

Parent information

Parish information

Godparent information

2025-2026 Baptism Dates