Baptism Request Form Email Address Child's Name * First Name Last Name Child's Middle Name (please enter "none" if not applicable) * Gender * Male Female Don't know yet Child's Date of Birth (or expected) * Child's Birthplace - City and State * Preferred Date of Baptism (Sundays only) * Has the child been baptized privately? * Yes No Age of next youngest child Father's Full Name * Father's Religion * Mother's Full Name (and Maiden Name) * Mother's Religion * Were parents married by a Catholic Priest? * Yes No Are parents registered at St Basil the Great? * Yes No Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Godfather's Full Name * Godfather's Religion * Godmother's Full Name * Godmother's Religion * Thank you! Look out for an email from contact@sbgparish.org.
