Request for Holy Baptism
Mother's Name
*
Mother's Phone
*
Mother's Email
*
Father's Name
Father's Phone
Father's Email
Requested Date/Time of Baptism
May 20, 2018 - 10am
November 4, 2018 - 10am
Not sure ... please contact me to discuss.
Other
Child's Name
*
Child's Birthdate
*
Do you have additional children to register?
Please provide their names and birthdates
Comments / Questions?
Submit
Should be Empty: