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2026 Diocesan Convention - Parish Certificate of Election of Lay Delegates

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CERTIFICATION OF ELECTION OF LAY DELEGATES - PARISH | 57th ANNUAL DIOCESAN CONVENTION | January 23 & 24, 2026 | The Diocese of Central Florida

Completing this online form will fill in the blanks in the sample text below, and then submit your certificate of election of lay delegates to the secretary of convention. The last day for submitting this certificate of election is Thursday, January 15, 2026.

SAMPLE: This it to certify that at a meeting of the clergy, wardens, and members of the Vestry, or of the Congregation of _______________________________, in _____________________, Florida held on the ________ day of the month of ________________, 202__ the following person was (or persons were) elected to represent said church at the 57th Diocesan Convention, to be held Friday and Saturday, January 23 and 24, 2026 and that the following named person is an (or persons are) adult confirmed communicant(s) of this church in good standing and qualified elector(s) of this Congregation.

***DO NOT SUBMIT THIS FORM IF YOU ARE NOT AUTHORIZED TO DO SO***

Parish Information

Church Name*

Church City*

Date of Election*

Rector, Clergy in Charge, or Senior Warden*

Parish Lay Delegates

Please Note: Electronic voting requires that each voting delegate must use a unique email address.

Delegate 1 First Name*

Delegate 1 Last Name*

Delegate 1 Email*

Delegate 1 Cellphone Number*

Delegate 2 First Name

Delegate 2 Last Name

Delegate 2 Email

Delegate 2 Cellphone Number

Delegate 3 First Name

Delegate 3 Last Name

Delegate 3 Email

Delegate 3 Cellphone Number

Parish Lay Alternates

Alternate 1 First Name*

Alternate 1 Last Name*

Alternate 1 Email*

Alternate 1 Cellphone Number*

Alternate 2 First Name

Alternate 2 Last Name

Alternate 2 Email

Alternate 2 Cellphone Number

Alternate 3 First Name

Alternate 3 Last Name

Alternate 3 Email

Alternate 3 Cellphone Number

Enter your full name and email address below to serve as a digital signature, attesting to the accuracy of this submission.

Full Name of Signatory*

Signatory Email*