Baptismal Application

Desired Date of Baptism *

Date

Time

Name of Candidate for Baptism *

First

Last

Address *

Address Line 1

City

State

Zip Code

Place of Birth *

City, State

Date of Birth *

Phone *

Email *

Father's Name *

First

Last

Father's Faith *

Please indicate Faith of father and place of baptism. *

Name of Church/Parish where the father was baptized. "Christian" or "other" is not an accepted answer

Mother's Name *

First

Last

Mother's Faith *

Please indicate Faith of mother and place of baptism. *

Name of Church/Parish where the mother was baptized. "Christian" or "other" is not an accepted answer"

Godfather's Name *

First

Last

Godfather's Faith *

Please indicate Faith of Godfather and place of baptism if applicable *

Name of Church/Parish where the Godfather was baptized. "Christian" or "other" is not an acceptable answer.

Address *

Address Line 1

City

State

Zip Code

Godmother's Name *

First

Last

Godmother's Faith *

Please indicate Faith of Godmother and place of baptism if applicable *

Name of Church/Parish where the Godmother was baptized. "Christian" or "other" is not an accepted answer.

Address *

Address Line 1

City

State

Zip Code

Officiating Clergy

BAPTISMAL APPLICATION

BAPTISM

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