Baptism Request Form (Child)

Parent's First Name (1)

Parent's Last Name (1)

Parent's First Name (2)

Parent's Last Name (2)

* Email

* Address

* City

* ZIP/Postal

Current Church Membership

* Child's First Name

Middle Name

* Child's Last Name

* Child's Birth Date

Place of Birth

Godparent (Sponsor) Name (1)

Relationship (1)

Godparent's Email (1)

Godparent (Sponsor) Name (2)

Relationship (2)

Godparent's Email (2)

* Baptism Request Date 1st Choice

* Baptism Request Date 2nd Choice