DeB

aptismal C

ertificateI

,____________________________________________________,

havin

g been

subjected

to a C

hristia

n b

aptism

before rea

chin

g an

age of

consen

t, or havin

g subm

itted to b

aptism

before em

bra

cing freeth

ough

t

and reason

, hereb

y officially renou

nce th

at prim

itive rite and th

e Ch

urch

that

imposed

it.

I ca

tegorically

reject th

e creed

s, dogm

as,

an

d

superstition

s of my form

er religion, p

articularly th

e pern

icious d

octrines

of ‘Origin

al S

in’ a

nd d

am

nation

.

Ifu

rther d

enou

nce a

s an

affron

t an

d d

efam

ation

to hu

man

ity the

false a

nd d

emea

nin

g belief th

at a

ny b

aby is b

orn w

ith ‘O

riginal S

in’ a

nd

mu

st be clea

nsed

of it by b

aptism

. From

this d

ay forw

ard

, I wish

to be

excluded

from a

ny cla

ims of religiou

s affilia

tion or m

embersh

ip b

ased

on b

aptism

al record

s .

Sign

ed ___________________________________________________________________________

on th

is da

y______________________ in

the Y

ear of N

o Lord

___________________________

Affirm

ed b

y ________________________________________ _____________________on

beh

alf of th

e Freed

om F

rom R

eligion F

oundation

Freedom

depends upon freethinkers “With soap, baptism isa good thing.”

—R

obert G. I

ngersoll