BAPTISM APPLICATION – ST. AIDAN’S ANGLICAN CHURCH Printing Help
Date Received: _____________Clergy: ___________________ Bapt. Prep: _________________
Date of Baptism__________________________Time of Service__________________________
Surname of the child____________________________________________________________
Christian names of the child _____________ ___________________________(male/female)
Date of birth________________________ Place of birth ______________________________
Father's full name_____________________________________________________________
Occupation: ____________________________Bus phone #____________________________
Denomination: ______________Baptised:___________________ Confirmed:______________
Mother's full maiden name_____________________________________________________
Occupation: ____________________________ Bus phone #___________________________
Denomination: ______________________Baptised: ___________Confirmed:______________
Parents' Address_______________________________________________________________
E-mail:________________________________Home phone #__________________________
Names and birthdates of other children:____________________________________________
Are you or have you ever been connected with St Aidan's?_____________________________
If so, what is your connection?___________________________________________________
If not, with which parish are you associated ?_______________________________________
Names of sponsors (Godparents) : Please include religious background and date of baptism
1.____________________________________/ _____________________/ _________________
2.___________________________________/_______________________/ ________________
3.___________________________________/ ______________________/ _________________
Statement of Intention: We ask that our child may be received into God's family through Baptism. We recognize that through Baptism we receive membership in the Christian Community and that, during his/her formative years, our child will depend on our understanding and concern. We promise, therefore, to do our best, by example and encouragement, to see that he/she grows up as Christ's faithful servant and a responsible member of his church.