Baptism Request Form

25585 Berg Road, Southfield, MI 48034
Tel: (248) 356-0565 Fax: (248) 356-5235
churchoffice@mogccc.com

HOME
SPIRITUAL LIFE
DONATE
MEMBERSHIP
MINISTRY
SACRAMENTS
VOCATIONS

"*" indicates required fields

Date requesting for Baptism*

Name*

First Middle Last

Child Gender*

Male

Female

Date of Birth*

Child's Place of Birth*

Father's Full Name*

Father's Religion*

Chaldean Catholic

Latin Catholic

Orthodox

Other Catholic

Other

Mother's First Name and Maiden Last Name*

Please type mother's full name with her maiden last name here.

Mother's Religion*

Chaldean Catholic

Latin Catholic

Orthodox

Other Catholic

Other

Family Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone of family requesting Baptism*

Primary email address of family requesting Baptism*

Godfather Name

Godfather must be 14 years of age or older

Date of Birth - Godfather

Godfather's Religion*

Chaldean Catholic

Latin Catholic

Orthodox

Other Catholic

Other

Godmother Name

Godmother must be 14 years of age or older

Date Of Birth - Godmother

Godmother's Religion*

Chaldean Catholic

Latin Catholic

Orthodox

Other Catholic

Other

If either parent is a non-Chaldean Catholic - Is it your desire to have your child formally be a part of the Chaldean Catholic Church*

Yes

No

If No please explain below*

Birth Certificate Upload

If you can upload your child's birth certificate in advance this would be helpful.

Max. file size: 256 MB.

Facebook
X
Instagram
RSS

Designed by The Lord 2021