Please fill out this form and click “submit” to request Baptism. A member of our clergy will contact you.
Full name of person to be baptized
Your name
Email of responsible party
Home Address
City/State/Zip
Phone
Age
Date of Birth
City and State
Requested Date of Baptism
Requested Hour of Baptism
Parent 1- Full Name
Parent 2- Full Name
Parents - City of Residence
Godparent 1 Name
Godparent 1 Residence
Godparent 2 Name
Godparent 2 Residence
Godparent 3 Name
Godparent 3 Residence [recaptcha]
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