FIRST UNITED CHURCH :: BAPTISM RECORD
Printable Version of Baptism Record Form
Full Name of Child to be baptized
Gender
Male
Female
Date of Birth
Place of Birth
FATHER’S INFORMATION:
Full Name:
Occupation
Religion
Age
Birth Place:
Church Status for Father:
Baptized
Yes
No
Confirmed
Yes
No
Attends Worship
Yes
No
MOTHER’S INFORMATION:
Full Name:
Occupation:
Religion
Age:
Birth Place:
Church Status for Mother:
Baptized
Yes
No
Confirmed
Yes
No
Attends Worship
Yes
No
NAMES & BIRTH DATES OF OTHER CHILDREN
Sponsor:
Marital Status of Couple:
Address:
Telephone:
Date of Baptism:
Date of interviews with Minister:
Date Entered in Register:
Date Returns forwarded to Vital Statistics:
Contact Person:
Email Address:
Additional Notes:
