Application for Holy Baptism
Please use a separate form for each applicant
About the applicant:
Date of application
*
Person's full name
*
First Middle Last
Person's age
*
Person's date of birth
*
Person's place of birth
*
For example: Exeter, New Hampshire
Person's gender
*
Male
Female
Other
About the parents:
Father's full name
*
First Middle Last
Mother's MAIDEN name
*
First Middle Last
Parents' residence
*
For example: 43 Pine St., Exeter, NH 03833
Parents' phone(s)
*
E-mail
*
Religious affiliation of parents
*
For example, Episcopal + Catholic
About the Witnesses or Sponsors:
Name 1
*
For example: Joe & Jane Smith
Residence 1
*
For example: 43 Pine St., Exeter, NH 03833
Name 2
Residence 2
Name 3
Residence 3
Date of Baptism
*
Hour
*
For example: 8 AM
Place of Baptism
*
Submit Application
Clear Form
Should be Empty: