Baptism / Chrismation Request Form
Before filling this form you are required to call the office and check the availability of your desired sacrament date and time.
Office Hours: M-F 8:30am-4:30pm (323) 737-2424
Please review all documents pertaining to the sacrament of baptism listed on our website at the link below:
https://saintsophia.org/sacraments/
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* Required
Sacrament Date
*
Must verify with office before submitting. Please call (323) 737-2424
MM
/
DD
/
YYYY
Time
:
AM
PM
Legal Name of Baptismal Candidate:
*
(first & last)
Your answer
Sacrament Type
*
Baptism
Chrismation
Gender:
*
Male
Female
This Sacrament is for a
*
Child
Adult
Date of Birth:
*
MM
/
DD
/
YYYY
Place of birth:
*
(City, State)
Your answer
Baptismal name
Optional - for those wishing to take a Saint's name other than their given name.
Your answer
Notes/Comments
optional
Your answer
Address:
*
(current residence)
Your answer
City:
Your answer
Zip Code:
*
Your answer
Primary Phone:
*
Your answer
Other Phone:
Your answer
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