BAPTISMAL INFORMATION

BAPTISMAL APPLICATION
Baptism Time*

:HourMinutesAM/PM Option
Baptism Date*

MonthDayYear
Father's Personal Information
Legal Name*

First NameLast Name
Religion*
Place of Birth*
Telephone # (Home)*

Area CodePhone Number
Telephone # (Mobile)

Area CodePhone Number
E-mail
Mother's Personal Information
Legal Name*

First NameLast Name
Religion*
Place of Birth*
Telephone # (Home)

Area CodePhone Number
Telephone # (Mobile)

Area CodePhone Number
E-mail
Parent’s Wedding (In what religion)*
Parent's Place of Wedding*
Parent's Date of Wedding*

MonthDayYear
Parent's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Child's Personal Information
Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Place of Birth*
Sponsor(s) Personal Information
Sponsor One
Full Legal Name

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Sponsor Two
Full Legal Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Please Note: An honorarium for the Parish Priest and the Chanter is appreciated.
Should be Empty:

BAPTISMAL APPLICATION