Today's Date *

MM

DD

YYYY

Attended Class on

Day that you attended a baptismal preparation class at Holy Redeemer Note: You must have attended the baptismal prep class in order to set a date.

MM

DD

YYYY

Sex *

Boy

Girl

Baptism date requested

Note: Request of Date does not guarantee date.

MM

DD

YYYY

What Mass are you requesting?

4:00p.m. (Saturday)

9:00a.m. (Sunday)

11:00a.m. (Sunday)

5:00p.m. (Sunday)

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Godfather's full name *

First Name

Last Name

Godmother's full name *

First Name

Last Name

What is your preference for day of baptism? *

Please select at least 2 options

Saturday 4:00p.m. Mass

Sunday 9:00a.m. Mass

Sunday 11:00a.m. Mass

Sunday 5:00p.m. Mass

Other