BAPTISMAL INFORMATION

BAPTISMAL APPLICATION
Baptism Time *

: Hour Minutes AM/PM Option
Baptism Date *

- Month - Day Year Date Picker Icon
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 *

- Month - Day Year Date Picker Icon

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 *

- Month - Day Year Date Picker Icon
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: