Baptism Request and Information Form

Baptismal Candidate Information

First Name (of CANDIDATE)

Preferred Name / Nickname

Middle Name

Last Name

Date of Birth

City and State of Birth, or City and Country of Birth:

Date of Baptism requested / desired

Parent(s) and/or Guardians Information (if the one being baptized is a minor)

Full Name of Parent or Guardian

Address

This address will receive a confirmation email

Phone

Full Name of Additional Parent or Guardian

Address

This address will receive a confirmation email

Phone

Godparents or Sponsors

Please list full names and contact information for all Godparents:

Parish Sponsor

Full Name

Address

Additional Notes

Description

Please fill out this form and click submit.