Request for Baptism of an Infant or Child

Family Information

Parent #1 Name

This address will receive a confirmation email

Cell Phone

Religious Affiliation

Is Parent #1 baptized? Yes No

Parent #2 Name

Cell Phone

Religious Affiliation

Is Parent #2 baptized? Yes No

Names and Ages of Siblings

Infant or Child Information

Full Name of Candidate for Baptism

Address

Gender

Male Female

Date of Birth

Location of Birth (City, State, Country)

Godparent Information (this may be provided at a later date)

Full Names of Godparents with approximate date, denomination and church of their baptism:

Service Information

Preferred Date for Baptism

Preferred Time

Please provide an approximate number of attendees:

Notes (office use):

Description

Please fill out this form and click submit. The office will contact you to confirm receipt and your service date. The clergy will be in touch with regards to preparations.

Request for Baptism of an Infant or Child

Description

Please Fix the Following