Request for Holy Baptism

You name

First Name

Last Name

Email Address

Church where you would like the Baptism to take place

Date and time of Baptism

Full name of child / candidate

Date of birth of child / candidate

Father's full name

Mother's full name

Father's occupation

Mother's occupation

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Godparent 1

Please note that Godparents should be baptized Christians.

First Name

Last Name

Godparent 2

First Name

Last Name

Godparent 3

First Name

Last Name

Godparent 4

First Name

Last Name