CANDIDATE FOR BAPTISM REQUEST FORM
This form is used to collect information of baptism candidates. Please complete the form and submit it at least two weeks prior to Baptism which is held on the third Sunday of each month.
Email address *
FIRST NAME:
LAST NAME:
ADDRESS:
CITY, STATE, ZIP CODE:
IF UNDER AGE 18, PARENT(S) NAME:
CONTACT NUMBER:
CANDIDATE'S D.O.B:
MM
/
DD
/
YYYY
HAVE YOU/YOUR CHILD EVER BEEN BAPTIZED?
Clear selection
PLEASE SPELL EXACTLY HOW CANDIDATES NAME SHOULD BE PRINTED ON THE BAPTISM CERTIFICATE:
A copy of your responses will be emailed to the address you provided.
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