Baptism Request Form APPLICANT'S INFORMATION Name * First Name Last Name Gender * Male Female Date of Birth * MM DD YYYY CONTACT INFORMATION Contact Person if different from applicant First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Is applicant a child? * Yes No Requested Baptism Date MM DD YYYY Thank you!
