Name of person to be baptized:

(Please include first and middle names in "First Name" field)

First Name

Last Name

Address

Please indicate country, located below Zip/Postal Code; otherwise, you will not be able to submit this form online.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

(best way to contact you)

Place of Birth

(For person being baptized)

Date of Birth

(For person being baptized)

Gender

(of person being baptized)

male

female

Parent's Full Name

Parents Religious Affiliation

(or your religious affiliation to date)

1. Witness or Godparents

2. Witness or Godparents

3. Witness or Godparents

Date and Hour of Requested Baptism

(date will be confirmed by Rev. Hull)

“Holy Baptism is full initiation by water and the Holy Spirit into Christ’s Body, the Church” (Book of Common Prayer, p. 298).

In the sacrament of baptism, we are joined with Christ and all of the saints that have proceeded us into the hope of eternal life. You could say that it is part of the circle of life.

In the waters of baptism we are lovingly adopted by God into God’s family, which we call the Church, and given God’s own life to share and reminded that nothing can separate us from God’s love in Christ.

Baptism is open to anyone who is not already baptized, and can be scheduled for nearly any Sunday during our 8:00 a.m. or 10:00 a.m. services.

The Rite of Holy Baptism can be found on pp. 297-308 of the Book of Common Prayer.

Complete the attached application and return it to the church via email, U.S. Postal Service, or in person.