Baptism Registration Form - St. Andrew's Episcopal Church

ST. ANDREW'S EPISCOPAL CHURCH

306 N. Division St., Ann Arbor, MI 48104

office@standrewsaa.org

www.standrewsaa.org

(734) 663-0518
BAPTISM Registration Form

If registering multiple children, please complete separate forms for each child.

PERSON TO BE BAPTIZED
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Place of Birth*
City, State
Gender

MaleFemale

PARENTS OF PERSON TO BE BAPTIZED
Parent 1 - LEGAL Name*
First, Middle/Maiden, Last
Parent 1 - BIRTH Name*
First, Middle, Last
Parent 1 - Email*
Parent 1 - Phone Number*
Parent 2 - LEGAL Name*
First, Middle/Maiden, Last
Parent 2 - BIRTH Name*
First, Middle, Last
Parent 2 - Email
Parent 2 - Phone Number
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

GODPARENTS / SPONSORS
Godparent / Sponsor 1
First / Middle and/or Maiden / Last Name
Godparent / Sponsor 2
First / Middle and/or Maiden / Last Name
Godparent / Sponsor 3
First / Middle and/or Maiden / Last Name
Godparent / Sponsor 4
First / Middle and/or Maiden / Last Name

ADDITIONAL INFORMATION
Baptism Service Preference

Family Service (9:15 am Sunday)Feast of the Baptism (10:00 am Sunday)Great Vigil of Easter (7:30 pm Saturday)Pentecost (10:00 am Sunday)All Saints' (10:00 am Sunday)Other
Service times and dates are subject to clergy approval.
Additional Information
Please verify that you are human*
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