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Baptism Reservation Request Form

If you have any questions or concerns, contact Lynn Wilmoth. After your form has been processed, you will receive an email to confirm the date and service you requested. If the date and/or service you requested are full by the time your form is received, you will be notified of this so that you can choose another date and/or service.

Haga clic aquí para este formulario en español.

(* Denotes Required Fields)

Required Information
Child's Full Name (first, middle, and last names): *
First Name Your Child Goes By:
Child's Date of Birth: *
Child's City and State of Birth: *
Child's Gender:
Please complete all the information below. :
Requested Date for Baptism:
Requested Time for Baptism:
Preference of clergy to baptize child: *
Baptism workshop parents and Godparents will attend:
Parent #1 Full Legal Name: *
First Name Parent #1 Goes By:
Parent #2 Full Legal Name: *
First Name Parent #2 Goes By:
Are you members of the Cathedral of St. Philip?: *
Street Address: *
City/State/Zip Code: *
Main/Home Phone: *
Cell Phone:
Business Phone:
Email Address: *
Use the spaces below to list the godparents' names. It is not required that there be 3; most people have between 1 and 3. :
Godparent #1 Full Name (first, middle or maiden, and last names):
Godparent #2 Full Name (first, middle or maiden, and last names):
Godparent #3 Full Name (first, middle or maiden, and last names):