St. Michael's Church Baptism Request
Your Name *
Please enter your name
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Your email *
Please enter your email address
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Your Phone Number *
Please enter your phone number
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Child's Full Name *
Please enter the full name (first middle last) of your child to be baptized
Your answer
Boy or Girl? *
Please indicate the gender of your child
Age *
Please enter the current age of your child
Your answer
Date of Birth *
Please enter the month, day, and year your child was born
Your answer
Place of Birth *
Please enter the City and State where your child was born
Your answer
Address *
Please enter your home address
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Father's Full Name *
Please enter full name (first, middle, last) of child's Father
Your answer
Mother's Maiden Full Name *
Please enter full Maiden name (first, middle, last) of child's Mother
Your answer
Religious Affiliation of Parents *
Please enter the current religious affiliation (denomination, home church) of both parents
Your answer
Witnesses or Sponsors *
Please enter the full names (first, middle, last) of all witnesses and/or sponsors for this baptism
Your answer
Date of Baptism *
Please enter the desired date of baptism (we will do our best to honor your request)
Your answer
Baptism Service
Please select the desired service for baptism (we will do our best to honor your request)
Questions
Please enter any questions or concerns that we may address.
Your answer
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