Memorial Church Baptism Registration

If you'd like to have your child be baptized in the Protestant tradition at University Public Worship in Memorial Church, please complete the form below. For Catholic baptisms, please visit http://catholic.stanford.edu.

Baptism Candidate's Name (will be used on certificate)

Candidate's Birthdate (MM/DD/YYYY)

Candidate's Birthplace

Parent's Full Name 1

Parent's Full Name 2

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone

Godparent Name(s)