Baptism Registration Form Page

* Indicates required field

Father's Full Name *

Father's Religion *

Mother's Full Maiden Name *

Mother's Religion *

Church / Denomination of Infant's Parent's Marriage *

Infant's Full Name (please include Middle) *

Infant's Date of Birth or Anticipated Date *

City and State of Infant's Birth *

Godparent #1 *

Godparent #2 *

Parent's Email *

Parent's Phone Number *

Parent's Address *

Line 1

Line 2

City

State

Zip Code

Country

Questions or Comments? *

Submit

Baptism Registration Form