REQUEST FOR BAPTISM- ADULT
Parish of Renforth – Diocese of Fredericton

 

APPLICANT


 Full Name

 Birth Date

Place of Birth 

Occupation or Profession

Address

 

Phone Number

Parish Church

Agreed Date of Baptism

 

 

 MOTHER


 Full Name

 Maiden Name

 Occupation or Profession

 Baptized?   Yes / No  

 Confirmed?   Yes / No

 

 

 FATHER


 Full Name

 Occupation or Profession

 Baptized?   Yes / No

 Confirmed?   Yes / No