Mar Abraham Chaldean Catholic Church | Baptism & Chrism Form

To register for Baptism & Chrism, please complete the form below. Baptisms/Chrismations are held on Saturdays and Sundays at 1:00 PM (Sundays after the Chaldean Mass).

Schedule Baptism Prep Meeting

Requested Date of Baptism / Chrism *

Baptisms/Chrisms are only held on Saturdays at 1PM and Sundays at 1PM. If you would like to request another date, please contact the Pastor.

Baptized's Information

Baptized's First Name *

Baptized's Last Name *

Baptized's Baptismal Name *

Baptized's Date of Birth *

Baptized's City of Birth *

Baptized's State of Birth *

If Born Outside US, Enter Country

Father's First Name *

Father's Last Name *

Mother's First Name *

Mother's Last Name *

Mother's Maiden Name *

Godparent Information

1st Godparent's First Name *

1st Godparent's Last Name *

2nd Godparent's First Name

2nd Godparent's Last Name

Family Information

To be kept in church files.

Address *

City *

State *

Zip *

How Many People Live in the Family? *

Email *

Phone Number #1 *

Phone Number #2

Questions Regarding Marriage and Family

(If the baptized is a child)

Did the Parents Marry in a Catholic Church? * Yes No

Are Both Parents Members of a Chaldean Catholic Church? * Yes No

Are the Parents Living With This Child as a Family? * Yes No

Do Both Parents Agree to Baptize and Let This Child Receive Chrism (Confirmation) in the Chaldean Catholic Church? * Yes No

By submitting this form, I/we acknowledge that I/we will need to provide my/our signature(s) and obtain the signature of the Pastor.

Signature

Signature (type full legal name) *

Date *