Date and Time of Baptism

Candidate's Name

This is the name of the person - adult or child - who is to be baptised. Please give middle names as well in the First Name box.

First Name

Last Name

Date of Birth

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Name

First Name

Last Name

Mother's Email

Mother's Phone Number

Mother's Occupation

Is the mother baptised?

Is the mother confirmed?

Confirmation is when you make the same promises yourself that your parents made for you in baptism.

Father's Name

First Name

Last Name

Father's Email

Father's Phone Number

Father's Occupation

Is the father baptised?

Is the father confirmed?

Names and ages of other children in the family

Godparent 1

Godparents must be baptised

First Name

Last Name

Godparent 2

First Name

Last Name

Godparent 3

First Name

Last Name

Godparent 4

First Name

Last Name

Who is the main contact?

Different contact