Form for Baptism

Form for Baptism

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Name of Child Name of Child First Last
Date of Birth Date of Birth / MM / DD YYYY
Place of Birth

(City and State)
Mother's Name Mother's Name First Last
Father's Name Father's Name First Last
Date o Baptism Date o Baptism / MM / DD YYYY
Sponsor or Witness Sponsor or Witness First Last
Godparent Godparent First Last
Baptized?

Baptized? Yes No
If yes, what denomination?
Godparent Godparent First Last
Baptized?

Baptized? Yes No
If yes, what denomination?
Contact Contact First Last
Who should we contact for more information?
Contact Phone Contact Phone - ### - ### ####
Contact Email