LETTER OF TRANSFER This is to certify that the person(s) whose name(s) appear below is (are) registered or enrolled in: Church, , in the Diocese of , as Adult Members (16 or Older) Younger Members Date of Birth Date of Birth Date of Baptism Date of Baptism Active Member Yes / No Communicant in Good Standing Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Communicant in Good Standing (if applicable) Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Active Member Date of Confirmation/Reception Date of Confirmation/Reception (if applicable) I, the undersigned, do hereby transfer the above-named Member(s) to the spiritual charge of the Rector (or Minister) of the Parish or Congregation of in the Diocese of , pursuant to the provisions of the Canon “Of Regulations Respecting the Laity.” Please acknowledge the acceptance of this Letter of Transfer..
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