BAPTISM FORM

BAPTISM CANDIDATE'S INFORMATION:

(Please print exactly as you would have it to appear on certificate)

Name:*
City & State of Birth:*
Date of Birth:*
 / 
 / 
Home Phone:
-
Cell Phone:*
-
Date you would like to be baptized: (Note: 1st Sunday of each month)
Signature:*
Date:*
IF A MINOR, PLEASE COMPLETE THE FOLLOWING: 
Father's Name:
Father's Address:
Father's Phone:
-
Father's Signature:



Mother's Name:
Mother's Address:
Mother's Phone:
-
Mother's Signature: