Candidate for Baptism Registration Form

(Required fields are identified with an asterisk *)

Your name *

Email address *

Address *

Phone number *

Relationship to the Candidate for Baptism *

Candidate for Baptism Information

Please complete this form.

Full Name *

Provide the candidate's full name. If you are the candidate, please enter SELF.

Birthdate *

Place of Birth

If the candidate for baptism is a child, please provide the child's birthplace, otherwise, enter N/A.

Father and Mother Names *

If the candidate for baptism is a child, please provide the full name of the child's father and mother,

God Parents Name

If the candidate for baptism is a child, and the child has God Parents, please provide the full name of the child's God Parents.

Baptism Preference *

How would you like to be baptized? (Choose one)

Baptism Preference Date *

Choose a date that would suit you and your family.