Baptism Inquiry

After submitting this form, our team will be in contact with you using the contact information given.

*First Name

*Last Name

*Email Address

*Phone Number

*Address Line 1

Address Line 2

*City

*State/Province/Region

*Zip/Postal Code

*Child's Full Name (First, Middle, Last):

*Child's Date of Birth (MM/DD/YYYY):

*Child's Place of Birth:

*Mother's Full Name (First, Middle, Maiden):

*Mother's Religion:

*Father's Full Name (First, Middle, Last):

*Father's Religion:

*Godfather's Full Name (First, Middle, Last):

*Godfather's Religion:

*Godmother's Full Name (First, Middle, Last):

*Godmother's Religion:

*Please Select your preferred month for your Baptism:

*Please select a secondary month option for your Baptism:

*Are you a member of Nativity?:

YesNoNot Sure

Comments:

Office Use Only - Celebrant Signature:

Office Use Only - Date of Baptism:

Office Use only - Payment received:

Office use only: Godparent letter received:

Office use only: Recorded:

Office use only: Certificate mailed:

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