Request for Baptism

Completing this form begins the caring conversation regarding baptism, it does not guarantee date or time for baptism. We will contact you to set the final baptism details.

Please Complete for the Person Being Baptized

Name

Name for Baptism Certificate: typically includes First Middle Last (please check spelling)

Birth Date: mm/dd/yyyy

Birth Place:

Gender

Currently expecting a baby and want to get the Baptism process started. Yes

Baby's Due Date

Contact Person for this Baptism Request

Name

Phone: (include area code)

This address will receive a confirmation email

Please Complete for the Family of the Person Being Baptized.

Parent Name(s) as they should appear on the certificate.

Sibling(s) Name(s) & Age(s)

Sponsor Name(s)

Gloria Dei Member

Approximate Number of Guests that may attend this Baptism (if known)

Comments:

Description

Please fill out this form and click submit.

Request for Baptism

Description

Please Fix the Following