Baptism Form Name (as it will appear on the certificate) * First Name Last Name Preferred Date of Baptism * MM DD YYYY Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Birthplace * (City, State) Parents/Legal Guardian Name (if under 18) As you want it to appear on the certificate. First Name Last Name Parent/Legal Guardian Name (if under 18) As you want it to appear on the certificate. First Name Last Name Special lnstructions Any preference as to who performs the baptism? Thank you!
