Baptism

Baptism & Baby Blessing Registration

Please complete the form below for our office records. All information will remain confidential.
Please indicate whether this submission is for a Baptism Candidate or a Baby Dedication.

Please complete this section only if you are registering for a Baby Blessing
Full Name of Child
Child's Birthdate
Child's Gender
Primary / Guardian Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com

Please complete this section only if you are registering for baptism
Baptism Candidate Name*

First NameLast Name
Baptism Candidate Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Baptism Candidate Phone Number*
Format: (000) 000-0000.
Baptism Candidate Email
example@example.com
Baptism Candidate Age*
FemaleMale
Primary / Guardian Contact (only complete if Baptism Candidate age is 18 years or younger)

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
We kindly ask that you bring an extra pair of undergarments and socks, and arrive one hour prior to the service.
General Comments/Questions
Should be Empty:

Baptism & Baby Blessing Registration