Holy Baptism

Child or Adult?
Candidate's Name *
Candidate's Name
Date of birth *
Date of birth
(Be aware that the format is month-day-year)
Place of Birth
Place of Birth
Phone *
Current Address *
Current Address
Parent 1 *
Parent 1
Parent 2 *
Parent 2
Date of Baptism *
Date of Baptism
(Be aware of the format: month-day-year) See the listing of dates on the baptism page.
Please enter your name below to sign the form: