Baptism Request Form
Please complete this information in preparation for Holy Baptism.
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Full Name (First Middle Last) *
Sex *
Address *
Date of Birth *
Place of Birth *
city, state
Parent Name *
as you would like it recorded in the Parish Register (usually First Middle [Maiden] Last)
Parent Name
as you would like it recorded in the Parish Register (usually First Middle [Maiden] Last)
Parents' Residence
if different from person to be baptized
Telephone
Religious Affiliation of Parents
Witness 1 or Godparent 1 Name
Witness 1 or Godparent 1 Address
Witness 2 or Godparent 2 Name
Witness 2 or Godparent 2 Address
Witness 3 or Godparent 3 Name
Witness 3 or Godparent 3 Address
Requested Date of Baptism *
Requested Service *
Submit
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