Baptism Form

Date of this application(Required)

Please enter the date this application was prepared

Baptismal Candidates full name(Required)

Parent's names(Required)

Parent's Church background

Please list the parents' religious affiliation, if any

Parents Contact Phone

Mailing Address(Required)

Candidate's phone number

If different from parents

Candidate's Date of Birth(Required)

Candidate's Place of birth(Required)

Baptismal Candidate's Gender(Required)

Sponsors (godparents) names and addresses

Please list all names and addresses for the godparents (if any)

Date of Baptism(Required)

Once confirmed with clergy

Place and time of Baptism(Required)

St. Simon's or other

Baptism Information