Please fill out this form and mail to St. Andrew, 106 West Cooper, Tipton, MO  65081 (If printing this form from this site, highlight form then use file and print)or copy and paste to our email address, standrewchurch@embarqmail.com   Baptism Registration Info Name of Child:  ________________________       ____________________       ___________________________                                         (first)                                          (middle)                                               (last) Date of Birth: ______________________ _________ _____________________                                        (month)                 (day)                        (year) Place of Birth:_________________________________________________________________                                         (city)                                                                 (state) Name of Father:__________________       ____________________       ________________________ Catholic: Y  N                                      (first)                             (middle)                                       (last) Name of Mother:_________________       ____________________       ________________________ Catholic: Y  N                                   (first)                               (middle)                                  ( MAIDEN) Address of Parents: ___________________________________Marriage:   Civil?     Catholic? Phone Number(s): __________________________________________________________________ GodParents:  (at least 1 must be Confirmed Practicing Catholic) Name of Godfather:        Catholic? (y / n) ________             Parish?______________________________                _______________________________________________________________________________________ Name of Godmother:        Catholic (y / n) ________             Parish?______________________________ _______________________________________________________________________________________ Date of Baptism:   __________________________           Time:  _______________________________ Comments:  Anything else Father should know___________________________________________________ ___________________________________________________________________________________________