BAPTISM REQUEST

Please complete

*Date and time of Baptism:

:

Person to be baptized:

*Baptized first and middle name:

*Baptized last name:

*Birth date:

*Birth place:

Parents of person to be baptized:

*Parent #1: first and last name:

*Email

*Phone

*Country/Region

*Address

*City

*Zip / Postal code

*Parent #2: first and last name:

Email

Phone

Country/Region

Address

City

Zip / Postal code

4 Church Street

Webster, MA 01570

508-943-0061

Office Hours:

Tuesday through Friday

9am to 1pm

Email

Subject

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