1080 W. Roosevelt Road
Chicago, IL 60608

Baptism Registration

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  Please complete the information below and click the submit button to register for the Sacrament of Baptism at Holy Family. Someone from the parish office will be reaching out to you shortly with additional information. If you have any questions, please call the parish office at 312-492-8442.
  
  Candidate's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  City of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Parent's Information
  
  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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number - Cell REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number - Home Please enter a phone number.
  
  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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number - Cell REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number - Home Please enter a phone number.
  
  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.
  
  Godparent's Information
  
  One Godparent must be a practicing Catholic. If the other is a non-Catholic, but Christian, that person is called a witness.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field.
  
  +There is no set fee for Baptisms; however, a free will donation is greatly appreciated.
  
  Submit