BAPTISMAL INFORMATION

BAPTISMAL APPLICATION
Baptism Time*

:Hour Minutes AM/PM Option
Baptism Date*

MonthDay Year
Father's Personal Information
Legal Name*

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

Area Code Phone Number
Telephone # (Mobile)

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

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

Area Code Phone Number
Telephone # (Mobile)

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

MonthDay Year
Parent's Mailing Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Child's Personal Information
Child's Name*

First Name Last Name
Date of Birth*

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

First Name Last Name
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

Area Code Phone Number
E-mail
Sponsor Two
Full Legal Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number

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

BAPTISMAL APPLICATION