White Robed Monks of St. Benedict

Baptism Petition Form
Please note: We cannot process your petition until we have complete information,
including names of Godparents and agreed upon date/time/city where Baptism will take place.
PRIOR to form submission
Please EITHER check with Guest Master
or with the cleric you wish to have officiate to determine an mutually agreeable date
OR provide a preferred date and one or two alternative dates.
Thank you. Blessings.
Peace be with you.
When we receive this form completed by you, we will be better able to serve you.
May Peace and Joy be to you and yours now and forevermore.
The White Robed Monks of St. Benedict

Please NOTE: Data Entry Protocols:
If requested data does not apply, please leave field empty.
Do NOT hit ENTER when supplying data as doing so SENDS the form.
Please use standard capitalization norms (i.e., Names: First, Middle, Last).
DO NOT enter data all in UPPER CASE or lower case. Please use standard capitalization norms.
Thank you. Many Blessings.
Please complete the following:
Preferred Baptism Date (MM/DD/YY):
     Alt A Baptism Date (MM/DD/YY):
     Alt B Baptism Date (MM/DD/YY):
Baptizee's Last Name:

Please enter today's date:

We have read and understand the Frequently Asked Questions regarding Baptism and agree to work with the White Robed Monks of St. Benedict given the information contained therein. YES. NO. (Please note: A NO response may place this petition into a Deferred Status until a couple's as yet unanswered questions may be answered and the couple may freely check YES. Please refer inquiries to: Father Abbot. If you have read the FAQ's and have no further question at this time, please check YES.)

YES, this is a NEW Baptism Petition we are about to submit.
YES, this is an UPDATED Baptism Petition we are now about to submit.
We found this site by:

If *"Friend" or "Other", please type in name or source of contact:

Officiant
If you have already spoken with a priest/deacon and s/he has agreed to officiate at your ceremony, please note the officiant's name here:
Name of priest/deacon whom you may be specifically requesting to officiate at the baptism:

Please enter Baptizee's (Adult or Child) information (as will appear in official record and on baptismal certificate):

First Name:

Middle Name:

Middle Initial:

Surname:         (Please be sure to note without comma if "Jr." or "II" etc.)

Birth Date (MM/DD/YY):

City of Birth:

Gender: Female.   Male.

State of Birth (USA) of Birth:

Country of Birth:

Please enter Parental information (for Infant Only) (as will appear on official record) :

Mother's First Name:

Mother's Middle Name:

Mother's Surname:

Religious Affiliation (If none, please enter OPEN or NONE):

Mother's Religion of Origin:

Has Mother been baptized:   YES NO

Has Mother been confirmed: YES NO

Mother's e-mail address:
Mother's work phone number with Area Code:

Mother's home phone number with Area Code:

Mother's cell hone number with Area Code:

Father's First Name:

Father's Middle Name:

Father's Middle Initial:

Father's Surname:         (Please be sure to note without comma if "Jr." or "II" etc.)

Religious Affiliation (If none, please enter OPEN or NONE):

Father's Religion of Origin:
Has Father been baptized:   YES NO

Has Father been confirmed: YES NO

Father's e-mail address:

Father's work phone number with Area Code:

Father's cell phone number with Area Code:

If different than mother's, Father's home phone number with Area Code:

Permanent Mailing Postal Address (for Adult and Infant):

Address:

City:

USA only, State-Abreviation:

USA only, State full name:

USA ONLY just 5 digit ZIP Code:

If in USA, to insure prompt processing of this form, PLEASE obtain and fill-in below your ZIP+4.
To obtain your ZIP+4 please click: USPS Zip Code Retrieval Unit. Your information (usually) will be saved. When +4 is obtained, just click browser's tool bar BACK button at top of USPS page to return to this form.

Zip+4 currently in USPS data base. YES  NO   If NO, then insert OOOO in next field.Thank you.)

Please enter ONLY +4 here:

Outside USA, Province:

Outside USA Postal Code:

Country:
(If another address is to be the permanent address, please write-in that address below in Special Instructions.)

Godparents: (Typically, for Infant only there is only one set of Godparents. Please list here the principal Godparents. If there are others, please list below in Additional Comments.)

Godmother's First Name:

Godmother's Middle Name:

Godmother's Surname:

Godmother's Religious Affiliation (If none, please enter OPEN or NONE):
Godmother's Religion of Origin:

Has Godmother been baptized:   YES NO

Has Godmother been confirmed: YES NO

Godfather's First Name:

Godfather's Middle Name:

Godfather's Surname:          (Please be sure to note without comma if "Jr." or "II" etc.)

Godfather's Religious Affiliation (If none, please enter OPEN or NONE):
Godfather's Religion of Origin:

Has Godfather been baptized:   YES NO

Has Godfather been confirmed: YES NO

Baptismal Information (Logistics):

Baptismal Date:
Baptism Time: <Please enter WITHOUT COLON (:)> AM PM

Baptism Location:

Address:

City:

State: Province:

ZIP/Postal Code:

Country (if not USA, click "Outside"):

Country (if not USA, please type-in Country):

Site Coordinator:

Phone number with Area Code:

FAX number with Area Code:

E-mail address:

Approximate Number of Guests (maximum):

Additional Comments: (Please do NOT hit ENTER when entering information.)

Congratulations and Thank you.
Peace and Joy to you and yours.
The White Robed Monks of St. Benedict Please PRINT this form for your records prior to clicking Submit.
Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear.

In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Baptism Petition and in message area: your contact e-mail, Last Name , Date of Baptism (mm-dd-yy) and phone number. We will confirm within 24 hours whether or not we received your petition. Thank you.

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Rite of Baptism
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Phone: 415-292-3228
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