Baptism Form

Baptismal Candidate's Full Name (First, Middle, Last)

Candidate's Date of Birth

Candidate's Place of Birth (City and State)

Adult Candidate's Phone

Adult Candidate's Email

Parent 1 Full Name (First, Middle, Last)

Parent 1 Phone

Parent 1 Email

Parent 2 Full Name (First, Middle, Last)

Parent 2 Phone

Parent 2 Email

Mailing Address (for Church Record)

Requested Service Time

Sunday 8 a.m.

Sunday 9:30 a.m.

Sunday 12 p.m.

Other (Special Arrangement through Clergy)

Requested Date

Feast of the Baptism of Our Lord (January)

Second Sunday of Easter

Day of Pentecost

All Saints' Day

Sunday after All Saints' Day

Other (provide request in Special Notes)

Sponsor or Godparent Name (First, Middle, Last)

Sponsor or Godparent Email

Sponsor or Godparent Name (First, Middle, Last)

Sponsor or Godparent Email

Special Notes or Additional Info