Name of person completing this form *
Name of person completing this form
Names of person to be baptized *
Names of person to be baptized
In the first box please list all 'given' names.
Address of Baptism Candidate
Address of Baptism Candidate
Date of birth of baptism candidate
Date of birth of baptism candidate
Please include town/city and state.
Full names of Mother *
Full names of Mother
In the first box please list all 'given' names.
Full names of Father *
Full names of Father
In the first box please list all 'given' names.
Full names of first godparent/sponsor *
Full names of first godparent/sponsor
In the first box please list all 'given' names.
Full names of second godparent/sponsor *
Full names of second godparent/sponsor
In the first box please list all 'given' names.
Full names of third godparent/sponsor *
Full names of third godparent/sponsor
In the first box please list all 'given' names.
I confirm that all godparents/sponsors have been baptized *
It is required that godparents/sponsors of candidates for baptism have themselves already been baptized.
Scheduled date of baptism *
Scheduled date of baptism
Approximately how many friends and family do you anticipate will attend the baptism service (this helps us to plan for printing and hospitality).
If you have any questions, you can list them here, and if there is any information you think we need to know, please include that here as well.