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? ---YesNo
Was the child adopted? ---YesNo
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? ---YesNo
Which one? ---GodfatherGodmother