Baptism Inquiry Form After submitting this form, our staff will be in contact with you using the contact information given. Step 1 of 7 14% Contact Name(Required) First Last Contact Email(Required) Contact Phone Number(Required) ChildChild's Name(Required) First Middle Last Child's Date of Birth(Required) MM slash DD slash YYYY Child's Place of Birth(Required) ParentsFather's Full Name(Required) Is the father Catholic?(Required) Yes No Mother's Full Name(Required) Is the mother Catholic?(Required) Yes No Parent's Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are the parents active members of Our Lady of Loretto Church?(Required) Yes No In order to be considered an active member of Our Lady of Loretto Church, you must: (1) Be registered in the parish for a minimum of six months; (2) Attend Mass faithfully; (3) Support the life of the parish; and (4) Use the envelope or the online giving system weeklyWhat is the parents envelope number? If you don’t know the parents envelope number, then please contact the parish office at (516) 489-3675Do the parents want to register as members of Our Lady of Loretto Church? Yes No GodparentsRequirements to be Godparents: (1) at least sixteen years of age; (2) must have received the Sacraments of Baptism, Confirmation, and Eucharist; (3) must be living a life in harmony with the teachings of the Catholic Church in faith and morals.Godfather's Full Name(Required) Is the Godfather Catholic?(Required) Yes No Godmother's Full Name(Required) Is the Godmother Catholic?(Required) Yes No Baptism DatePreferred Language for the Rite of Baptism(Required) Spanish English Baptism in Spanish take place every second Sunday at 2:30pm, and in English every second Sunday of the month at 4:00pm.Please select your preferred month for Baptism of your child?(Required)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberPlease select your second preferred month for Baptism of your child?(Required)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember DocumentsPlease upload a copy of the birth certificate of your childMax. file size: 100 MB.If you do not have a digital copy, please submit a physical copy later at the parish office Additional InformationThe requested offering for a Baptism is currently $25 per child(Required) Yes, we agree to make the church offering of $25 if the date is confirmedCommentsPlease write any additional information that you would like the parish office to knowEmailThis field is for validation purposes and should be left unchanged.