Baptism Request

Requested Date of Baptism

Child's First, Middle, and Last Name (required)

Child's Date of Birth

Child's Gender
MaleFemale

Child's City and State of Birth

Father's First, Middle and Last Name

Mother's First, Middle and Last Name

Street Address

City, State, ZIP

Your Email (required)

Telephone

Sponsor's Name #1

Sponsor's Name #2


Would you like to donate flowers on the day of the baptism in honor of the one being baptized?
YesNo

If yes, we will make note of the gift in Parish Matters. The cost is $45. A flower guild member will be in touch.


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