Baptism Application

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Application for Baptism

Today’s Date

Rye Presbyterian Church 882 Boston Post Road Rye, NY 10580 914 - 967-0842

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Child’s Full Name Date and Place of Child’s Birth Father’s Full Name Father’s Church Affiliation Mother’s Full Name (and Maiden) Mother’s Church Affiliation Date of Baptism Full Names and Addresses of Godparents/sponsors, if any:

Parents’ Address: Parents’ Telephone

Parent email

Additional Information

(For office use) Elder or Deacon who will “assist” ______