Baptizing Your Child

Is this your first child to be baptized at St. Stephen? REQUIRED Yes No Please fill out this field.

Child's First Name REQUIRED Please fill out this field. Please enter valid data.

Child's Middle Name REQUIRED Please fill out this field. Please enter valid data.

Child's Last Name 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.

Child's Gender REQUIRED Male Female Please fill out this field.

City of Birth REQUIRED Please fill out this field. Please enter valid data.

State of birth REQUIRED Please fill out this field. Please enter valid data.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Father's Faith REQUIRED Please fill out this field. Please enter valid data.

Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Mothers' Faith REQUIRED Please fill out this field. Please enter valid data.

Family Contact Information

Street Address REQUIRED Please fill out this field. Please enter valid data.

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.

Contact Phone Number (10 digits, no dashes) ie. 7083422400 REQUIRED Please fill out this field. Please enter a phone number.

Contact Email REQUIRED Please fill out this field. Please enter an email address.

Married REQUIRED Yes No Please fill out this field.

GODPARENT INFORMATION

Please complete the godparent information below as best you can. If you do not know who the godparents are as of yet, please type "Undecided" in the text box.

Godparent 1 Full Name REQUIRED Please fill out this field. Please enter valid data.

Godparent 1 Catholic? Yes No

Godparent 2 Full Name REQUIRED Please fill out this field. Please enter valid data.

Godparent 2 Catholic? Yes No

The information submitted on this form is used to create the baptismal certificate and the baptismal record at the church. Accurate spelling matters. REQUIRED I have double-checked the information for accuracy. Please fill out this field.

Are you a registered parishioner of St. Stephen? REQUIRED Yes No. Please fill out this field.

I am interested: REQUIRED An English baptism on the afternoon of the first, third or fourth Sunday of the month. A Polish baptism on the afternoon of the second Sunday of the month. A Polish baptism at the fourth Sunday Polish Mass. Please fill out this field.

Please remember to share the Godparent/Sponsor form with your child's chosen Godparents. This form should also be returned to the parish office as soon as possible.

St. Stephen Deacon and Martyr

17500 South 84th Avenue Tinley Park, IL 60487

Baptizing Your Child

Baptism Information Form Instructions

Baptism Information form