Request for the Baptism of a Child
Is the child a boy or a girl?
*
Full names of child
*
Date of birth
*
/
Month
/
Day
Year
Date
Requested date of baptism
/
Month
/
Day
Year
Date
Mothers full name
*
Mother's occupation
Has the mother been Baptised?
*
Yes
No
Has the mother been confirmed?
*
Yes
No
Father's full name
*
Father's occupation
*
Has the father been Baptised?
*
Yes
No
Has the father been Confirmed?
*
Yes
No
Address
*
Email
example@example.com
Contact telephone number
*
Mobile number preferred
Name of Godparent 1
*
Name of Godparent 2
*
Name of Godparent 3
*
Please check to confirm if Godparents have been baptised or confirmed:
*
Check if Godparent 1 has been baptised
Check if Godparent 1 has been confirmed
Check if Godparent 2 has been baptised
Check if Godparent 2 has been confirmed
Check if Godparent 3 has been baptised
Check if Godparent 3 has been confirmed
Is there any other information you would like to add?
Submit
Should be Empty: