Baptism Request Form

Baptism Request Form

Please provide your details to request a baptism.
Full Name of Person to be Baptized

First & Middle NameLast Name
Date of Birth

MonthDayYear
Date
City of Birth
State of Birth
Sex
Upload a Copy of the Birth Certificate

Accepted formats: PDF, JPG, PNG
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Is this your first child being baptized? (If yes, the parents will need to attend a baptism class. The office will help schedule this.)
Father's Name

First NameLast Name
Father's Religion
Mother's Name

First NameLast Name
Mother's Religion
Main Contact's Phone Number
Format: (000) 000-0000.
Main Contact's Email Address
Home Address

Street Address

Street Address Line 2
CityStateZip CodeCountry
Are you a member of Ss. Peter and Paul?
Baptism Details
Do you have a preference of who performs the baptism?
If yes, who would you prefer?
If no, then the available Priest or Deacon will perform it.
Preferred Baptism Date

MonthDayYear
Date
What time would you like the baptism?
Godparents

** At least one Godparent must be a Confirmed Practicing Catholic. **
Godparent #1
Name

First NameLast Name
Godparent #1 is a...
Godparent #2
Name

First NameLast Name
Godparent #2 is a...
For Parish Office use only:
Should be Empty:

Baptism Details