APPLICATION FOR BAPTISM - Saint Cecilia Catholic Community

555 North Commercial Road #1 Palm Springs, CA 92262 • 760-778-8950 • Every Sunday: Sung Mass 10:30 AM

Baptism Application

BAPTISMAL CANDIDATE'S NAME*
First Middle Last
CANDIDATE'S DATE OF BIRTH*
MM slash DD slash YYYY
PLACE OF BIRTH (CITY AND STATE)
YOUR EMAIL*
Enter Email Confirm Email
PARENT #1 FULL NAME
First Last
PARENT #1 EMAIL
PARENT #1 PHONE
FULL NAME PARENT #2
First Last
PARENT #2 EMAIL
PARENT #2 PHONE
MAILING ADDRESS FOR PARENTS*
Street Address City State ZIP
REQUESTED DATE(S) FOR CEREMONY*
REQUESTED TIME*
NUMEBR OF PEOPLE EXPECTED TO ATTEND*
LANGUAGE*
- ENGLISH ONLY
- BILINGUAL ENGLISH & SPANISH
DO YOU WANT MUSIC?*
- Yes
- No
Our musicians charge $250 cash in advance
GODPARENT #1 FULL NAME
First Last
GODPARENT #1 EMAIL
GODPARENT #1 PHONE
GODPARENT #2 FULL NAME
First Last
GODPARENT #2 EMAIL
GODPARENT #2 PHONE

X

S

M

L

X