St. George’s Anglican Church

51 Church St., Moncton, NB E1C 4Z3

Church Office: 506-855-5209              Fax: 506-388-4866

Email – office@stgeorgesmoncton.ca

The Reverend Chris VanBuskirk

The Rev. Dr. Dan Goodwin

The Rev. Deacon Norm Dupuis

 

Request for Baptism of Children

ST. GEORGE’S CHURCH

Diocese of Fredericton

 

Desired Date for Baptism.......................................................................         

Family Surname......................................................................................

Your address............................................................................................         

...........................................................................  Phone Number            

Name of Church  to which parents belong...........................................

Name (s) to be given to this child..........................................................

Birth date of Child      day               month        year

Place of Birth...........................................................................................

Father’s Full Name(s).............................................................................

Father’s Occupation or Profession........................................................

Is Father      Baptized  Yes/No                         Confirmed   Yes/No

 

Mother’s Full Name(s)............................................................................

Mother’s Maiden Name..........................................................................

Mother’s Occupation or Profession.......................................................

Is Mother    Baptized  Yes/No                            Confirmed   Yes/No

 

GODPARENTS (full names and addresses, please)

“Sponsors shall be baptized persons and able to make promises required.”

(Revised Prayer Book, 1959, 522)

...................................................................................................................

...................................................................................................................

...................................................................................................................

........................................................................................... Baptized    Yes/No

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...........................................................................................

........................................................................................... Baptized    Yes/No

 

REQUEST FOR BAPTISM BY PARENTS

 

We desire to bring our Child to Holy Baptism, so that we may bring him up in the Christian faith and as a loyal member of the Church.  We will co-operate fully with our own Church towards this end, and do all we can to foster his faith by our example and prayers.

 

Mother’s Signature........................................................

Father’s Signature.........................................................

Signature of Guardian..................................................

 

This form duly completed should be returned to the Rector as soon as possible.