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Child

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Middle Name Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter a date.
Age REQUIRED Please fill out this field. Please enter valid data.
Gender REQUIRED Please fill out this field.
City and State of Child's Birth REQUIRED Please fill out this field. Please enter valid data.

Mother

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

Last 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.
Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Father

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

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

Additional Information

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.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Are you a registered parishioner at Holy Spirit for a minimum of 3 months? REQUIRED Yes No Please fill out this field.

Do you live in the boundaries of Holy Spirit (Zip codes 89004, 89135, 89147, 89148, 89161, 89178, 89179)? REQUIRED Yes No Please fill out this field.

Are the child's parents married or single? REQUIRED Married Single Please fill out this field.

If single, does the parent requesting baptism have sole custody of this child? Yes No. If no, the other parent, that is, the one sharing custody must give written consent for his/her child to be baptized.

Would you like to purchase a copy of the Baptism Mass? $20/copy given on a commemorative flashdrive. REQUIRED Yes No Please fill out this field.

*Please click image below to purchase. Video must be paid at least a week before the baptism date*

Godparents

Please list below one or two Godparents for Baptism.
- You may have a maximum of two godparents, but you must have at least one. If there are honorary godparents, they do not take part in the Rite of Baptism at Mass nor are their names printed on the certificate or placed in the official Baptismal Registry of the parish.
- At least one of the godparents must be a fully-initiated Catholic (have received all three sacraments of Initiation: Baptism, First Communion, and Confirmation). The second "godparent" does not have to be a Roman Catholic, but must be a Christian and is technically called and recorded in the Baptismal Registry as a "Christian Witness".
- The godparents must be at least 16 years of age.
- If the godparent is married, he/she must be married in the Catholic Church.
- If you have only one godparent, then that person can be either male or female. If you have two godparents, then one must be male and the other female.
- All godparents must fill out the Godparent Affidavit- Godparent Affidavit
- If the godparents live in Las Vegas, they are required to take the Baptism Preparation Class at Holy Spirit. If the godparents live in a different city or state, the godparent affidavit must be filled out by their parish pastor or delegate.
Godparent 1 First and Last Name REQUIRED Please fill out this field. Please enter valid data.
Godparent 1 Religion REQUIRED Please fill out this field. Please enter valid data.
Gender (Godparent 1) REQUIRED Please fill out this field.
Godparent 2 First and Last Name Please enter valid data.
Godparent 2 Religion Please enter valid data.
Gender (Godparent 2)
If one or both godparents are unable to attend the baptism, you may have a proxy stand in. Will either godparent need aproxy? REQUIRED Yes No Please fill out this field.
Please include the name of the godparent and the proxy who will stand in for him/her.

Baptism Preparation Class

Birth Certificate

Please email a copy of the Child's Original Birth Certificate to kaylaf@holyspiritlv.org

Once both the parents have completed the Baptism Preparation Class, a baptism date may be scheduled.

Holy Spirit Catholic Church

BAPTISM REGISTRATION FORM