Infant Baptism Request Form
First & Last Name of Child *
Your answer
Date of birth of child *
MM
/
DD
/
YYYY
Sex of child *
Required
Mothers Information
Please place N/A in the section below if not applicable to the child.
Name of mother *
Your answer
Phone *
Your answer
Email *
Your answer
Address *
Your answer
Fathers Information
Please place N/A in the section below if not applicable to the child.
Name *
Your answer
Phone *
Your answer
Email *
Your answer
Address *
Your answer
Family Information
Marital Status between mother and father *
Best time of day to contact *
Who is best to follow-up with? *
Anything else you may like for us to know?
Your answer
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