Certificate of
In the name of the Lord Jesus Christ, the only King and Head of the Church, this child of God is now received into the visible membership of the holy catholic church, engaged to confess the faith of Christ, and to be God ’s faithful servant until life’s end.
aptism B
(parent/s or guardian/s) (date)
Reformed Church in America
This is to certify that ___________________________________________________, born at ______________________________________________________________ on the ______________day of _________________________in the year_________, having been presented by ____________ ___________________________________, who promised to instruct ________________________________________________ in the truth of God’s Word, on ________________ ___________________, ________, was baptized into membership of ____________________________________________________________________
(church)
of __________________________________________________________________,
(city and state/province)
which promised to love, encourage, and support this child by teaching the gospel of God’s love. _________________________________
(minister of Word and sacrament)
_______ __________________________
(elder of the Reformed Church in America)