Infant Baptism Application

Child's Name (Please include first, middle, last)

First & Middle Name Last Name
Birth Date

Month Day Year
Date
Place of Birth
Requested Baptism Date

Month Day Year
Date
Service
Father's Name with Full Middle Name
Phone Number
Church Membership
Name of Church
Church Address
Mother's Name
Mother's Maiden Name
Phone Number
Church Membership
Name of Church
Church Address
Family Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
As Christian parents, we desire that our child receive the Sacrament of Christian Baptism. Werealize we are the vital force in fostering our child’s spiritual growth and are ready to make public affirmation of our faith and promises to Christ and His Church.
Father's Signature

Clear
Mother's Signature

Clear
(Application must be received in the church office six weeks before the Baptism date.)
Should be Empty: