Saint Michael and All Angels Episcopal Church

Baptism Candidate Information
Full Name (first, middle, last)*
Date of Birth*
MM slash DD slash YYYY
Place of Birth
(to be used on Baptism Certificate)
Gender*
Select one
- Male
- Female
Address*
Are you a member of St. Michael's?*
- Yes
- No
What is your relationship to St. Michael's? (for example, brother is a member or in-laws are members)
Parent #1 Full Name
(as it will appear on Baptism Certificate)
Parent #2 Full Name
(as it will appear on Baptism Certificate)
Parent's Residence (if different)
Contact Information
Phone*
Email*
Witness/Godparent Information for Baptism Certificate
Full Name (#1)
Address (#1)
Full Name (#2)
Address (#2)
Full Name (#3)
Address (#3)
Untitled
- First Choice
- Second Choice
- Third Choice