Date & Place of Birth:
Mother's Maiden Name:
Parents' contact information:
Desired Place and Date of Baptism:
Place of Sponsor's Baptism: Confirmation:
Name & Address of your parish church [So that the Baptism can be recorded locally, and a copy of a certificate can be easily obtained for the future]:
Where did you hear about my ministry?
Please note that there is no set fee for a Baptism, or any other Sacrament or spiritual goods of the church. But a free will offering will be gratefully accepted and passed on to the Good Shepherd Companions.