HOLY ROSARY PARISH
4139 – 42^ND Ave. SW
Seattle, WA 98116
206-937-1488, Ext. 251;  206-935-4303 (fax)

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GODPARENT CERTIFICATE FOR BAPTISM


________________________________               _______________________________            

1. I am a parishioner of Holy Rosary Church of Seattle, WA?  ¨ Yes  ¨ No   If No, what Parish are you a member: Name of Catholic Church:____________________________________City/State:  ________________________
2. For those being asked to be a godparent for Baptism, a Godparent cannot be a parent or spouse of the person being baptized. Are you a parent or spouse of the person? ¨ Yes  ¨ No
3. I am at least 16 years old.  ¨ Yes  ¨ No
4. I am a fully initiated Catholic thru receiving the Sacraments of Baptism, Confirmation and Eucharist:
5. Baptism: ¨ Yes  ¨ No      First Eucharist: ¨ Yes  ¨ No        Confirmation: ¨ Yes  ¨ No
6. I am Single, living a single life?  ¨ Yes  ¨ No, OR
7. I am in a valid Catholic marriage (married in a Catholic Church by Catholic priest or deacon)? Yes  ¨ No ¨
8. I participate in weekly Sunday Mass regularly?  ¨ Yes  ¨ No
9. I will continue to be a model of Catholic living for my godchild, through daily prayer, virtuous living and active participation in parish life (volunteering, tithing).  ¨ Yes  ¨ No
10. As a practicing Catholic, being a Godparent is an important opportunity for me to witness my faith and to be a good example of Catholic life to my godchild.  I have conscientiously considered what I have been asked to do.  I promise with God’s help to be the best sponsor I can be.  ¨ Yes  ¨ No