Please enable JavaScript in your browser to complete this form.Parent or Guardian's Full name *FirstLastParent or Guardian's Preferred nameParent or Guardian's Full nameFirstLastParent or Guardian's Preferred nameEmail *Address (Street, City, State, ZIP) *Phone Number *Are you a member of St. Andrew's? *YesNoWould like to become a memberFull name of person to be Baptized *FirstMiddleLastCandidate's preferred name *Candidate's date of birth *City and state of birth *Candidate's Gender *FemaleMaleRequested date(s) of Baptism *Month/Day/YearNumber of Godparents *1234Godparent #1 full name *FirstLastGodparent #1 street address *Godparent #2 full nameFirstLastGodparent #2 street addressGodparent #3 full nameFirstLastGodparent #3 street addressGodparent #4 full nameFirstLastGodparent #4 street addressNameSubmit
