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Baptism Request Form
 

Child's First, Middle, Last Name:

  
Child's Date of Birth:  
Gender:   Male   Female
Child's City and State of Birth:  

 

Father's First, Middle, Last Name:

  

Mother's First, Middle, Last Name:

  
Street Address:  
City, State, Zip:  

Email:

  

Phone Number:

  
 

Baptism Date Requested:

  
 
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?   Yes   No

 

(if yes, we will make note of the gift in the Parish Matters)

 

The cost is $30.  A flower guild member will be in touch.
 

Comments:

  

              

 
 
 

If you have any problems with this form, please call JBH Designs (770-720-6171).

 

 

 

  
 

13560 Cogburn Road    ::   Alpharetta, GA  30004    ::   Office - 770.521.0207    Fax - 770.521.0208    ::   office@staidans.org

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