Baptism Registration

Family Name:

Address:

Primary Phone:

Primary Email:

Today's Date

Are you a registered parishioner of St. Peter's?

Father's Birth Name

Father's Religion

Mother's Birth Name

Mother's Present Name

Mother's Religion

Are the parents married?

Name of church or institution where married

City, State of church or institution

Name of officiant at your wedding

Has the child you wish to be baptized been born yet?

If no, what is the due date?

Child's Name (First, Middle, Last)

Child's Birthdate

City of Birth

Child's Sex

What number child is this for you?

Have you attended a baptism class in past 5 years?

If yes, where?

1405 Sibley Memorial Highway

PO Box 50679

Mendota, MN 55150-0679

(651) 452-4550

Church Office Hours:

Monday - Friday

8:00 am - 4:00 pm