EAC Application for Presentation
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First Name of Child *
Last Name of Child *
Birthdate of Child *
MM
/
DD
/
YYYY
Sex of Child *
Required
Date and place of the child's birth *
Date the child started attending Emmanuel Anglican Church *
Date and place of the child's baptism *
House Address  *
City *
State *
Zip Code  *
Phone Number *
Email  *
Mother's Full Name *
Mother is a Baptized Christian (Date & Church of Baptism) *
Mother is Confirmed (Date & Church of Confirmation) *
Mother is a member of EAC? *
Required
Mother affirms the Duties of the Laity? *
Required
Father's Full Name *
Father is a Baptized Christian (Date & Church of Baptism) *
Father is Confirmed (Date & Church of Confirmation) *
Father is a member of EAC? *
Required
Father affirms the Duties of the Laity? *
Required
Parent's marital status (check all that apply) *
Required
If parents are married, by the Church or Government, provide the date and location where the marriage took place
Requested Date of Baptism *
Submit
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