Our Lady of Lourdes Catholic Church153 Chalan Pale’ Ramon Lagu Unit A, Yigo, Guam 96929 * Tel: (671) 653-2584Fax: (671) 653-4746 Email: ourlady@teleguam.net

GODPARENT’S PERMISSION FORMOnly the Primary (ONE Male and/or ONE Female) Godparentis recorded in our Canonical records and the Chancery Office. All others are considered witnesses.

Please PRINT clearly and check mark appropriate boxes

Sacrament of BaptismSacrament of Confirmation

Child / Candidates Name (Please print)

GodfatherGodmother

Parish where the Sacrament will be administered:

Name of Godparent:

Residential Address

Contact Nos. Have you receivedthe Sacrament of Confirmation?

Do you attend mass on Sunday and Holy Days of Obligation?

I am (please check mark only one)[ ] Single [ ] Married in the Catholic Church [ ] Widowed [ ] Divorced

[ ] Divorced and Remarried [ ] Civilly Married [ ] Living together “Common Law” [ ] Other

Do you clearly understand your role as a Godparent?

I have understood and answered all these questions honestly and truthfully to the best of my knowledge.

_______________________________________________________ _____________________________Signature Date

( ) Approved ( ) Declined Reviewed by Clergy: FDF FPG DLS DDR DGC __________

GODPARENT’S PERMISSION FORMDear Father,

Based on the Godparent Permission Form, I hereby grant permission for ___________________________________(Please print)

to be a Godfather/Godmother for ______________________________ for the Sacrament of Baptism/Confirmation.(Please print)

Si Yu’us Ma’ase’,

__________________________________________ _____________________________ (Parish Seal)Name of Clergy (Print & Sign) Date

This form is valid when it is signed by the proper authority and is properly sealed. This portion is to be submitted to parish where Baptism and / or Confirmation will be administered.

Our Lady of Lourdes Catholic Church153 Chalan Pale’ Ramon Lagu Unit A, Yigo, Guam 96929 * Tel: (671) 653-2584Fax: (671) 653-4746 Email: ourlady@teleguam.net

GODPARENT’S PERMISSION FORMOnly the Primary (ONE Male and/or ONE Female) Godparentis recorded in our Canonical records and the Chancery Office. All others are considered witnesses.

Please PRINT clearly and check mark appropriate boxes

Sacrament of BaptismSacrament of Confirmation

Child / Candidates Name (Please print)

GodfatherGodmother

Parish where the Sacrament will be administered:

Name of Godparent:

Residential Address

Contact Nos. Have you receivedthe Sacrament of Confirmation?

Do you attend mass on Sunday and Holy Days of Obligation?

I am (please check mark only one)[ ] Single [ ] Married in the Catholic Church [ ] Widowed [ ] Divorced

[ ] Divorced and Remarried [ ] Civilly Married [ ] Living together “Common Law” [ ] Other

Do you clearly understand your role as a Godparent?

I have understood and answered all these questions honestly and truthfully to the best of my knowledge.

_______________________________________________________ _____________________________Signature Date

( ) Approved ( ) Declined Reviewed by Clergy: FDF FPG DLS DDR DGC __________

GODPARENT’S PERMISSION FORMDear Father,

Based on the Godparent Permission Form, I hereby grant permission for ___________________________________(Please print)

to be a Godfather/Godmother for ______________________________ for the Sacrament of Baptism/Confirmation.(Please print)

Si Yu’us Ma’ase’,

__________________________________________ _____________________________ (Parish Seal)Name of Clergy (Print & Sign) Date

This form is valid when it is signed by the proper authority and is properly sealed. This portion is to be submitted to parish where Baptism and / or Confirmation will be administered.