Application for Holy Baptism at St. Paul's Episcopal Church
If you have any questions, please contact The Rev'd Gwynn Crichton at gcrichton@stpaulsrva.org or 804-545-5415.
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Email *
Date of Application *
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Full Name of Person to Be Baptized *
Preferred name (nickname)
Date of Birth *
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Place of Birth
Gender
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Preferred Date of Baptism *
Full Name of Parent #1 *
Is Parent #1 a member of St. Paul's? *
If no, please list religious affiliation of Parent #1
Parent #1 Preferred phone number
Parent #1 Email Address *
Parent #1 Home address
Full name of Parent #2
Is Parent #2 a member of St. Paul's?
Clear selection
If no, please list religious affiliation of Parent #2
Parent #2 Preferred Phone Number
Parent #2 Email Address
Parent #2 Home Address (if different from Parent #1)
Name(s) of Godparent(s)/Sponsor(s) #1
Godparent(s) #1 Religious Affiliation
Godparent(s) #1 Preferred Phone
Godparent(s) #1 Email Address
Godparent(s) #1 Home Address
Name(s) of Godparent(s)/Sponsor(s) #2
Godparent(s) #2 Religious Affiliation
Godparent(s) #2 Preferred Phone
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Godparent(s) #2 Email Address
Godparent(s) #2 Home Address
Name(s) of Godparent(s)/Sponsor(s) #3
Religious Affiliation of Godparent(s) #3
Godparent(s) #3 Preferred Phone
Godparent(s) #3 Email Address
Godparent(s) #3 Home Address
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