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 First & 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.

Mother's First & 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.

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

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. If you do not know who the godparents will be, 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 at 2:30 p.m. on he first or third Sunday of the month. A Polish baptism at 2:00 p.m. on the second Sunday of the month. A baptism on the fourth Sunday of the month during the 12:30 p.m. Polish Mass. Please fill out this field.

I/we understand that in order to have my child's baptism photo published (bulletin, parish website), I/we must submit it according to the photo guidelines. Yes

St. Stephen
Deacon & Martyr

17500 South 84th Avenue
Tinley Park, IL 60487

Baptizing Your Child

Baptism Information Form Instructions

Baptism Information Form

Baptism Information form