Baptismal Information Form
Please fill out the following form to help us get ready for your baptism.
Your Information
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Baptism Candidate Information
Proposed Date and Time of Baptism
*
Name of Baptism Candidate (as you would like it to appear on the baptismal certificate)
*
Gender
*
Please select one option.
Female
Male
Non-binary
Select Option
Female
Male
Non-binary
Date of Birth
*
Age at Last Birthday
*
City and State of Birth
*
Name of Parent/Guardian 1
Name of Parent/Guardian 2
Witnesses/Godparents
Number expected at baptism
Submit
Description
Please fill out the following form to help us get ready for your baptism.
×
Please Fix the Following