Plan a Baptism

First Name *

Middle Name *

Last Name *

Gender *

Age *

Tip: Please indicate age in years.

Date of Birth *

Place of Birth *

Requested Baptism Date *

Tip: We will try our best to accommodate your requested date. Please note that we cannot guarantee that a baptism can be done on your requested date.

Godparent 1 *

Godparent 2

Godparent 3

Additional Godparents

Additional Baptism Requests

Parents' Names *

Phone Number *

Email Address *

Address *

Address Line 2

City *

State *

Zip Code *