EAC Adult Application for Baptism

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First Name of Candidate for Baptism *

Last Name of Candidate for Baptism *

Birthdate of Candidate *

YYYY

Sex of Candidate *

Male

Female

Required

Date and place of birth of Candidate *

House Address *

City *

State *

Zip Code *

Phone Number *

Email *

Date candidate started attending Emmanuel Anglican Church *

One Year Catechism Class *

Class completed

Registered for the next class

Class in progress

Need to register

Required

Does the candidate affirm the Duties of the Laity? *

Yes

I have questions

Required

Sponsor's Contact Information (Address, phone, email) *

Sponsors are members of Emmanuel Anglican Church? *

Yes

Required

If Sponsors are not members of Emmanuel Anglican Church which church, are they members of? *

Sponsors are baptized Christians? *

Yes

Required

Sponsors are Confirmed Christians? *

Yes

Required

Requested Date of Baptism *

Epiphany/Baptism of Jesus

Easter Vigil

Feast of Pentecost

All Saints' Day

Alternative Date (with Dean's permission)

Required

Submit

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