Personal Information for Church Records
(this information will be archived and accessible for genealogical research for future generations
Full Name of Person to be baptised *
Your answer
Gender Identy *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
(at least city and state)
Your answer
Current Address *
Your answer
Mother's Full Name (maiden name in parenthesis)
Your answer
Mother's Address
(at least city and state) (if same as candidate for baptism, enter "same")
Your answer
Mother's Religious Affiliation
Your answer
Father's Full Name
Your answer
Father's Address
(at least city and state) (if same as candidate for baptism, enter "same"; if same as mother, enter "mother)
Your answer
Father's Religious Affiliation
Your answer
Family Email for follow-up *
Your answer
Phone number
Your answer
Comments
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