Holy Baptism

This form should be used to apply for or report Holy Baptism.
Required fields are in red.

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Full Name

Date of Application
Street Address 1: Age:
Street Address 2:
City/State:
Zip Code: e-mail
Telephone: FAX:
Religious Affiliation of Parents:

Witnesses or Godparents

1. Full Name

Street Address 1:
Street Address 2:
City/State:

2. Full Name

Street Address 1:
Street Address 2:
City/State:

3. Full Name

Street Address 1:
Street Address 2:
City/State:

Baptism Details

Date of Baptism:

Officiant:

Place of Baptism:
Church Name
Church Address:

Church City/State