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HOLY BAPTISM INFORMATION SHEET
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* Indicates required question
Date of Application
*
MM
/
DD
/
YYYY
Your email address:
*
Your answer
Full Name of Person Being Baptized
*
Please include middle name.
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Parent 1 Full Name
*
Your answer
Parent 1 City/Town and State of Residence
*
Your answer
Parent 1 Telephone
Your answer
Parent 1 Religious Affiliation
*
Your answer
Parent 2 Full Name
*
Your answer
Parent 2 City/Town and State of Residence
*
If the same as parent 1, state SAME
Your answer
Parent 2 Telephone
*
Your answer
Parent 2 Religious Affiliation
*
Your answer
Witness or Sponsor 1 Name (First and Last)
*
Your answer
Witness or Sponsor 1 City/Town and State of Residence
*
Your answer
Witness or Sponsor 2 Name (First and Last)
Your answer
Witness or Sponsor 2 City/Town and State of Residence
Your answer
Witness or Sponsor 3 Name (First and Last)
Your answer
Witness or Sponsor 3 City/Town and State of Residence
Your answer
Date of Baptism
MM
/
DD
/
YYYY
Place of Baptism
*
Your answer
Desired Officiant
*
Your answer
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