Child Baptism Application Form

Please submit one form per candidate.

Child's Name

First

Middle

Last

Child's Date of Birth

Sex of Child

Mother's Name

First

Middle

Last

If not applicable, please put N/A in the boxes

Address

Occupation

Father's Name

First

Middle

Last

If not applicable, please put N/A in the boxes

Address

Occupation

First Godparent's Name

First

Middle

Last

Second Godparent's Name

First

Middle

Last

Sex Name Number

Third Godparent's Name

First

Middle

Last

Fourth Godparent's Name

First

Middle

Last

Contact Number

Contact Email Address

Contact Preference

Permission & Agreement