Baptism Information Form

Please complete and submit at least a week before date of baptism so we can arrange to have the banner made and prepare the certificates. Thank You!

Child's Full Name
Birth Date / MM / DD YYYY
Boy Girl
Birthplace
PARENT'S NAME (S)
(Please enter Mother's maiden name in parenthesis and explain any hyphenated names in comments) First Last
Name First Last
Comments
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Email
Sponsors
Date of Baptism / MM / DD YYYY