BAPTISM AFFIDAVIT

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

I testify that

Full Legal Name of the Person Baptized

child of

Please include FIRST, MIDDLE and MAIDEN name of the MOTHER

and

Please include FIRST, MIDDLE and LAST name of the FATHER

born in

Please include LOCALITY (town, city, county), REGION (state, province or territory) and COUNTRY

Date of birth

YYYY

and was Baptized on or about

Date of Baptism

YYYY

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

with first Godparent of

Name of first Godparent

and second Godparent of

Name of first Godparent (if available)

Witness to the Baptism

The person who attests to remember and be present at this Baptism

Witness signature

By checking this box, the witness listed above attests to the validity of the information provided above

Witness contact information

Email, phone number OR physical address

Second witness to the Baptism

A second person who attests to remember and be present at this Baptism

Second witness signature

By checking this box, the witness listed above attests to the validity of the information provided above

Second witness contact information

Email, phone number OR physical address