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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