The Episcopal Church of Jackson Hole

Holy Baptism Application

First Name:
Last Name:
Date of birth:	Age: Sex:
Place of Birth:
Mailing Address (if infant, parent's address):
City, State and Zip:
E-mail:
Phone:
Father's full name:
Mother's full maiden name:
Parents Denomination:

1. Sponsors or Witness Names


2. Sponsors or Witness Names


3. Sponsors or Witness Names


Desired Baptism Date:
Desired Hour:
Desired Location:
Officiant:


Validation Code: * Why is this necessary?

Note: Once you click submit this form, you will be forwarded to a payment form. Active, pledging members of St. John's are not required to pay a fee. All others please submit a payment online of $350. If you do not make a payment online, please click cancel on the payment form and mail a check payable to St. John's Church.