ST. BART'S

2012 BAPTISM DATES

Sunday, May 27 (Pentecost)
9am and 11am

Sunday, July 15 9am and 11am

Sunday, September 23 9am and 11am

Sunday, November 4 (All Saints' Day) 9am and 11am

HOLY BAPTISM REGISTRATION FORM:

Holy Baptism Registration Form

Explanation

Please note that the * indicates a required field.

Date and Time for the Baptism you are requesting: *

Explanation

The Person to be Baptized:

First Name: *

Middle Name: *

Last Name: *

Gender: *

Date of Birth: *

Place of Birth (City, State): *

Parent 1 (maiden name if applicable): *

Parent 2 (maiden name if applicable):

Mailing Address: *

City: *

State: *

Zip code: *

Email: *

Phone *

Additional Phone #

Are you a member of St. Bart's?: *

Godparent/Sponsor (maiden name if applicable): *

Godparent/Sponsor (maiden name if applicable):