Request for Baptism 16 and older

I hereby apply to be baptized (give first, middle and last name):

Check all that apply

I am a member I am not a member I would like to become a member I do not want to become a member

This address will receive a confirmation email

Phone

Address

Date of birth:

Location of birth (City, State, Country):

Preferred Gender Pronouns:

Please give as much information as you can. You may request any date that we have regularly scheduled services. However, the actual date must be confirmed with the rector. Please note that we generally do not do any baptisms during Lent.

The Episcopal Church recognizes the baptism with water and in the Name of the Holy Trinity of any Christian Communion.

If you have already been baptized, in any faith, please apply for Confirmation or Reception.

The following questions relate to the person being baptized.

I promise that to the best of my ability and with God's help I will be a good and faithful servant of our Lord, Jesus Christ and a member of the Episcopal Church.

We have specific dates which are set aside for baptisms. Please choose one of those. If you have another date in mind, choose other, and tell us what the date is. Note that any other requested date for baptism is subject to the rector's permission.

I would like to request this date for the baptism:

If other, please let us know your preferred date & reason for request.

I would prefer this service & time.

Please list your parent/s or guardian/s name/s

The following questions relate to Godparents/Sponsors for the person being baptized. Two sponsors are typical, however, you may have none, one, or more than two.

Name and religious affiliation of first Sponsor/Godparent:

Name and religious affiliation of second Sponsor/Godparent:

Name and religious affiliation of third Sponsor/Godparent:

Name and religious affiliation of fourth Sponsor/Godparent:

if you have additional sponsors, please list their name, and religious affiliation here.

Request for Baptism 16 and older

Description

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