FORMS

Parent Information / Informacion de los Padres

Father's Name / Nombre de Papa REQUIRED Please fill out this field. Please enter valid data.

Mother's maiden name / Apellido de soltera de la Madre 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.

Father Phone Number / Numero de telefono de Papa REQUIRED Please fill out this field. Please enter valid data.

Mother Phone Number / Numero de telefono de Mama REQUIRED Please fill out this field. Please enter valid data.

Which Church would like to baptize your child / Cual Iglesia gustaria bautizar a su hijo/a REQUIRED Please fill out this field.

Childs Information / Informacion del Niño/a

1 Childs Name / Nombre del Niño/a REQUIRED Please fill out this field. Please enter valid data.

Date of Birth / Año de Nacimiento REQUIRED Please fill out this field. Please enter valid data.

City of Birth / Ciudad de Nacimiento REQUIRED Please fill out this field. Please enter valid data.

2 Childs Name / Nombre del Niño/a REQUIRED Please fill out this field. Please enter valid data.

Date of Birth / Año de Nacimiento REQUIRED Please fill out this field. Please enter valid data.

City of Birth / Ciudad de Nacimiento REQUIRED Please fill out this field. Please enter valid data.

3 Childs Name / Nombre del Niño/a REQUIRED Please fill out this field. Please enter valid data.

Date of Birth / Año de Nacimiento REQUIRED Please fill out this field. Please enter valid data.

City of Birth / Ciudad de Nacimiento REQUIRED Please fill out this field. Please enter valid data.

Godparents Information / Informacion de los Padrinos

Godmother Name / Nombre de la Madrina REQUIRED Please fill out this field. Please enter valid data.

Phone Number / Numero de telefono REQUIRED Please fill out this field. Please enter a phone number.

Practice your Catholic Faith regularly / Práctica su Fe Católica regularmente REQUIRED YES / SI NO Please fill out this field.

Married / Casado/a REQUIRED YES / SI NO N/A Please fill out this field.

Married by the Church / Casado/a por la Iglesia REQUIRED YES / SI NO N/A Please fill out this field.

Godmother Confirmed / Madrina Confirmado REQUIRED YES / SI NO N/A Please fill out this field.

Relationship with Parents / Relacion con los Padres REQUIRED Please fill out this field. Please enter valid data.

Godfather Name / Nombre del Padrino REQUIRED Please fill out this field. Please enter valid data.

Phone Number / Numero de telefono REQUIRED Please fill out this field. Please enter a phone number.

Practice your Catholic Faith regularly / Práctica su Fe Católica regularmente REQUIRED YES / SI NO Please fill out this field.

Married / Casado/a REQUIRED YES / SI NO N/A Please fill out this field.

Married by the Church / Casado/a por la Iglesia REQUIRED YES / SI NO N/A Please fill out this field.

Godfather Confirmed / Padrino Confirmado REQUIRED YES / SI NO N/A Please fill out this field.

Relationship with Parents / Relacion con los Padres REQUIRED Please fill out this field. Please enter valid data.

If godparents are not attending the talks at any OLG location, please answer the following questions: / Si los padrinos no estan asistiendo a las platicas el la Parroquia de OLG, responda a las siguientes preguntas:

Have the Godparents received the baptism talks in another parish? / Los Padrinos han recibido las platicas de bautizo en otra parroquia? REQUIRED YES / SI NO N/A Please fill out this field.

Where / Donde REQUIRED Please fill out this field. Please enter valid data.

When / Cuando REQUIRED Please fill out this field. Please enter valid data.

Our Lady of Guadalupe Catholic Parish

Serving the worship communities of:
Sioux Center, Rock Valley, Hawarden, & Akron Iowa

FORMS

Baptism Registration / Registro de Bautizo

Parent Information / Informacion de los Padres

Childs Information / Informacion del Niño/a

Godparents Information / Informacion de los Padrinos

If godparents are not attending the talks at any OLG location, please answer the following questions: / Si los padrinos no estan asistiendo a las platicas el la Parroquia de OLG, responda a las siguientes preguntas: