Baptism Application

    Name of Child (required)

    Date of Birth (required)

    Place of Birth (required)

    Parents are required to present copy of birth certificate

    Email Address (required)


    Home Phone Number

    Father's Name

    Father's Religion

    Mother's Name

    Mother's Religion

    Church and Place of Marriage

    Was the child privately baptized?

    Was the child adopted?

    A special authorization is needed for baptism of an adopted child.

    Godfather's Name

    Godfather's Religion

    Godmother's Name

    Godmother's Religion

    Is either godparent represented by proxy?

    Which one?