Baptism Request Form

Child's full Baptismal Name*
First Middle Last
Date of birth*
MM slash DD slash YYYY
Place of Birth*
City State / Province / Region Country
Full name of both parents
Parent
First Last
Parent
First Last
Church of Baptism: Our Lady of the Lakes, Balsam Lake WI
Date of Baptism*
MM slash DD slash YYYY
Your current address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
At least on sponsor has to be Catholic
Parents phone*
Member of Parish*
- Yes
- No
Sponsor*
First Last
Catholic or Non Catholic "Denomination"*
- Yes
- No
Sponsor
First Last
Catholic or Non Catholic "Denomination"
- Yes
- No
Date of Baptism Class*
MM slash DD slash YYYY
Priest or Deacon performing Baptism*