Baptismal Form

Date of Baptism Date of Baptism * / MM / DD YYYY
Time of Baptism *

Time of Baptism Saturday 5:30 pm Sunday 9:30 am Other~
~If "other" please indicate time desired. (This will need to be approved by Pastors.)
Child's Name (First, Middle and Last) *
Child's Gender *

Child's Gender Male Female
Child's Date of Birth Child's Date of Birth * / MM / DD YYYY
Child's Birth Place (City) *
Father's Name
Mother's Name
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
Sponsors (Godparents) *
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