Baptism/Christening Registration

Baptism/Christening Registration
Service Type
Applicant’s Name:

First NameLast Name
Name of Parent Submitting Registration:
Date of Birth:

MonthDayYear
Date
Mother's Name:

First NameLast Name
Mother's Religion:
Father's Name:

First NameLast Name
Father's Religion:
Will both parents be present?
Are parents married?
Contact Information
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email Address:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Godparent Information
Godfather's Name:

First NameLast Name
Godmother's Name:

First NameLast Name
Will Godparents be present?
Was the child ever christened before?
Desired Date of Service:

MonthDayYear
Date
Date:

MonthDayYear
Date
Signature:
Should be Empty: