Wufoo

Application for Holy Baptism

We want you and your family to enjoy fully the privilege of Christian baptism.

Please fill out the application for holy baptism completely and accurately. For more information, please contact Karen Giardina at (214) 291-5027.

Baptism Date Requested
Open dates *
Candidate Information
Full name *
Date of birth * MM / DD / YYYY
Age *

Please indicate whether the candidate's age is years or months. For example: 18 months or 18 years
Place of birth *
Gender *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Email *
Family Information
Father's full name
Mother's full name
Maiden name
Parent's address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

If different from the candidate
What is the religious affiliation of the candidate?
What is the religious affiliation of the parents?
Godparents / Sponsors
Name - Godparent / Sponsor 1 First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name- Godparent / Sponsor 2 First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name- Godparent / Sponsor 3 First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do Not Fill This Out
Do Not Fill This Out

Wufoo

Application for Holy Baptism

Baptism Date Requested

Candidate Information

Family Information

Godparents / Sponsors