Requested Date of Baptism
Requested Date of Baptism
Provide two choices (see Baptism webpage for options).
2nd Choice
2nd Choice
Name of Candidate for Baptism *
Name of Candidate for Baptism
Full legal name. If there is a nickname, place in parentheses after first/middle names.
Date of Birth *
Date of Birth
Town and State
Gender
Candidate's Address *
Candidate's Address
Phone Number *
Phone Number
Preferred phone number for candidate or parents.
If candidate is not an adult. Include any former legal name in parentheses.
Member of St. Peter's
First Parent's Address
First Parent's Address
If candidate is a child and address is different from candidate.
If candidate is not an adult. Include any former legal surname in parentheses.
Member of St. Peter's?
Second Parent's Address
Second Parent's Address
If candidate is a child and address is different from candidate and/or first parent.
Provide full name.
If unknown, leave blank.
Optional. Provide full name.
Optional. Provide full name.