Baptism Request

Baptism Request
Name of the Child

First NameLast Name
Father or Mother's Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of the Baptism

MonthDayYear
Date
Church
This form is not a booking confirmation, it is only a request.

The Church Secretary will contact you for more details
Should be Empty: