Baptism Registration Form

Desired Baptism Date *

January 7

February 11

March 31-Easter Sunday only at 11:15AM

April 7

May 12

June 16

July 14

August 18

September 15

October 20

November 17

December 8

Desired Service (If applicable based on desired date) *

8am

10:15am

Candidates Full Name *

Please First and Middle Name together

First Name

Last Name

Description of Candidate *

Infant

Child

Adult

Date of Birth *

MM

DD

YYYY

Mother's Name (Only for Children and Infants)

First Name

Last Name

Mother's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Phone

(###)

###

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Father's Name (Only for Children and Infants)

First Name

Last Name

Father's Address (IF SAME AS MOTHER TYPE SAME IN FIRST LINE)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Father's Phone

(###)

###

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