Please indicate prep class date you will be attending:
Are you a registered member of Pax Christi Catholic Community:
CHILD INFORMATION:
Child's First Name*
Child's Middle Name*
Child's Last Name*
Child's Date of Birth*
City and State of Birth
PARENT INFORMATION:
Parents Married?

Family Last Name
Father's First Name
Father's Middle Name
Father's Last Name
Father's Religion
Mother's First Name
Mother's Middle Name
Mother's Last Name
Mother’s Maiden Name (if applicable)
Mother's Religion
Family Address*
Family Email Address*
Family Phone Number*
GODPARENT INFORMATION:
Godparents must be Baptized and Confirmed Catholics (one male and one female). A baptized person who is not Catholic may serve as a Christian witness along with one Catholic Godparent.
Godparent #1 - First and Last Name*
Godparent #1 Religion
Godparent #2 - First and Last Name
Godparent #2 Religion
Honorary Godparents
Use this area for comments or questions.