Baptism Form for Children

Request for Christian Baptism, St Peter & St Paul's Church, Anglican Diocese of Canada

Your name *

Email address *

Full name of Baptismal Candidate *

Please include full Christian name: first name, middle names (if applicable) and Family Name.

Place of Birth: *

Please include city, province (or state) and country

Birthdate of Child: *

Father's Name *

In full

Father's Occupation

(if applicable)

Mother's Name in Full *

Mother's Maiden Name: *

If different from above.

Mother's Occupation

(if applicable)

Phone number *

Address *

Proposed date of baptism:

(if applicable)

Sponsor # 1 Information *

Please enter Full name & Address of Sponsor # 1

Name of Church that Sponsor # 1 attends

Sponsor # 2 Information

Please enter Full name & Address of Sponsor # 2

Name of Church that Sponsor # 2 attends:

Sponsor # 3 Information

Please enter Full name & Address of Sponsor # 3

Name of Church that Sponsor # 3 attends:

Sponsor #4 Information

Please enter Full name & Address of Sponsor #4

Name of Church that Sponsor #4 attends:

Sponsor #5 Information

Please enter Full name & Address of Sponsor #5

Name of Church that Sponsor #5 attends:

Sponsor #6 Information

Please enter Full name & Address of Sponsor #6

Name of Church that Sponsor #6 attends:

PARENT'S DECLARATION: *

I/We request Christian Baptism for our child and will participate in any required pre-baptismal preparation.

I/We intend to raise our child in a Christian home and as I/we are able, will teach him/her to know Jesus and to follow Him as Lord and Saviour. I/We will pray for him/her and regularly bring him/her to participate in the life and worship of the church.

I/we have typed my/our name(s) below as an electronic signature:

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