Email Facebook YouTube

English Baptism Registration

- Baptism Requirements
  
  Complete the registration below
  
  Copy of child's birth certificate
  
  $75.00 registration fee
  
  Godparent(s) and both parents must complete Baptism Preparation
  
  At least one Godparent, not the parent of the child, is required
  
  Godparent Requirements
  
  Fully initiated Catholic (Received Confirmation)
  
  Practicing Catholic at least 16 years of age
  
  If married, must be married in a Catholic Church
  
  If not married, must be living single
  
  Pre-Baptismal Class
  
  Both parents and godparents must attend and complete the class before Baptism
  
  Once the registration is completed and received, a date for the class will be confirmed by the coordinator
  
  Classes take place from 6:30 pm to 7:30 pm on the second Wednesday of the month (some exceptions apply)
  
  Information on Baptism
  
  Takes place on the third Saturday of each month (some exceptions apply)
  
  11:00am
  
  Communal Baptism
  
  Date will be confirmed by coordinator once registration and documentation is received
  
  For questions, please contact Ana Cervantes at (805)967-5641 ext 100
English Baptism Registration
- The maximum number of form submissions has been reached. This form is currently not available.
  
  CHILD INFORMATION
  
  Full Name of Child REQUIRED Please fill out this field. Please enter valid data.
  
  City, State of Birth of Child REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Hospital in which Child was born REQUIRED Please fill out this field. Please enter valid data.
  
  PARENT INFORMATION
  
  If any of the following information does not apply, please enter N/A in those fields.
  
  Full Name of Father REQUIRED Please fill out this field. Please enter valid data.
  
  Religion of Father REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Father's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Full Name of Mother (with Maiden Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Religion of Mother REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Family Address
  
  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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  STATUS
  
  Marital Status REQUIRED Please fill out this field.
  
  Please select all that apply REQUIRED Currently married in the Catholic Church Married in a Non-Catholic Church Married Civilly Previously married in the Catholic Church Wish to be married in the Catholic Church Please fill out this field.
  
  Name and Location of Church of Marriage Please enter valid data.
  
  Do you attend Mass regularly? REQUIRED Please fill out this field.
  
  If no, do you plan to begin regular attendance?
  
  Do you receive the sacraments regularly? REQUIRED Please fill out this field.
  
  Are you a registered member of Saint Raphael Church? REQUIRED Please fill out this field.
  
  If you are not registered parishioners of Saint Raphael Church, then you must obtain permission from the Pastor of your parish before baptizing your child at Saint Raphael Church.
  
  SPONSER INFORMATION
  
  A Sponser or Godparent must be a practicing Catholic who has received the Sacrament of Confirmation and is at least 16 years of age. If married, the Sponser must be married in accordance with the Church's Sacrament of Marriage. The Sponser must be attending Church regularly and receiving the Sacraments. Sponsers must complete the requored Pre-Baptismal class at this parish or present a certificate from the parish at which the course was completed.
  
  Name of 1st Godparent REQUIRED Please fill out this field. Please enter valid data.
  
  Religion of Godparent REQUIRED Please fill out this field. Please enter valid data.
  
  Martial Status of Godparent REQUIRED Please fill out this field.
  
  Phone Number of Godparent REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email of Godparent Please enter an email address.
  
  Name of 2nd Godparent Please enter valid data.
  
  Religion of Godparent Please enter valid data.
  
  Marital Status of Godparent
  
  Phone Number of Godparent Maximum 20 characters Please enter a phone number.
  
  Email of Godparent Please enter an email address.
  
  PAYMENT
  
  Registration Fee75.0
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Child's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Total:
  
  Submit
  
  Pay Now
  
  Pay Later
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

English Baptism Registration

Baptism Requirements

Godparent Requirements

Pre-Baptismal Class

Information on Baptism

CHILD INFORMATION

PARENT INFORMATION

STATUS

SPONSER INFORMATION

PAYMENT