Our Lady of Grace

A Parish of the Diocese of Greensburg

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Baptism Request

Infant Baptism Request

Infant Baptism Request

Name of Child

Child's Gender

Date of Birth

City of Birth

Father's Name

Mother's Full Name

Parent/Guardian Phone Number

Parent/Guardian Email

Preferred Date of Baptism

Preferred Time of Baptism

Godfather/Male Christian Witness Full Name

Godmother/Female Christian Witness Full Name

Thank you for requesting the Sacrament of Baptism for your child. A staff member will be contacting you within a week from this request.

We will be praying for you and your child as your family prepares for this Sacrament.

Please note that submitting this form does not guarantee a date, time, or celebrant.

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Please try again or call the parish office at 724-838-9480 during office hours:

M-Th, 9 a.m. -Noon & 1-4 p.m.

and Fri. 9 a.m.-Noon

Our Lady of Grace Church

1011 Mount Pleasant Road
Greensburg, PA 15601

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