Baptism Application

Name of Child (required)

Date of Birth (required)

Place of Birth (required)

Parents are required to present copy of birth certificate

Email Address (required)

Address

Home Phone Number

Father's Name

Father's Religion

Mother's Name

Mother's Religion

Church and Place of Marriage

Was the child privately baptized?

Was the child adopted?

A special authorization is needed for baptism of an adopted child.

Godfather's Name

Godfather's Religion

Godmother's Name

Godmother's Religion

Is either godparent represented by proxy?

Which one?