BAPTISM AFFIDAVIT

This form is used for when there is a verifiable Baptism, but no official document or certificate exists.

Full Legal Name of the Person Baptized
Please include FIRST, MIDDLE and MAIDEN name of the MOTHER
Please include FIRST, MIDDLE and LAST name of the FATHER
Please include LOCALITY (town, city, county), REGION (state, province or territory) and COUNTRY
on
on
Date of birth
and was Baptized on or about
and was Baptized on or about
Date of Baptism
Place of Baptism including CHURCH NAME, LOCALITY (town, city, county), REGION (state, province or territory) and COUNTRY
Name of individual who performed the Baptism (include TITLE) of the individual if known
Name of first Godparent
Name of first Godparent (if available)
The person who attests to remember and be present at this Baptism
Witness signature
Email, phone number OR physical address
A second person who attests to remember and be present at this Baptism
Second witness signature
Email, phone number OR physical address