Request for Baptism under age 16

Parent/Guardian 1 name: (first, middle, last)

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

Email of #1

This address will receive a confirmation email

Phone #1

Address #1

Parent/Guardian 2 name: (first, middle, last)

Check all that apply I am a member I am not a member I want to become a member I do not want to become a member

Email of #2

This address will receive a confirmation email

Phone #2

Address #2 (if different than above)

The following questions relate to the person being baptized.

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.

If you are an adult who wishes to be baptized, please use the baptism form for adults.

I/We do hereby apply to have the following person baptized (give first, middle and last name of person to be baptized):

I/We do promise that to the best of my/our ability and with God's help (I will be) I/We will raise this child to be a good and faithful servant of our Lord, Jesus Christ and a member of the Church.

Date of birth:

Location of birth (City, State, Country):

Preferred Gender Pronouns:

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.

We would like to request this date for the baptism:

If "other," please tell us the preferred date & reason.

We would prefer this service & time.

The following questions relate to Godparents/Sponsors for the person being baptized. Two Godparents is 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, religious affiliation & address here.

Request for Baptism under age 16

Description

Please Fix the Following