St Kieran's Parish - Baptism Form
PERSON TO BE BAPTISED
Proposed Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Celebrant
PERSON TO BE BAPTISED
Name
*
First Name
Middle Name
Last Name
Place of Birth
*
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Home Address
*
Email
*
example@example.com
Phone
*
Format: (000) 000-0000.
Is this your first child to be baptised?
*
Yes
No
If not, could you please let us know how long it has been since your last Baptism Preparation session?
*
FAMILY DETAILS
Father's Full Name
*
First Name
Middle Name
Last Name
Fathers Religion
*
Mother's Full Name
*
First Name
Middle Name
Last Name
Mother's Maiden Name
*
Mother's Religion
*
GODPARENT(S) DETAILS
Godparent 1 - Full Name
*
First Name
Last Name
Godparent 1 - Religion
*
Godparent 2 - Full Name
First Name
Last Name
Godparent 2 - Religion
SIGNATURE
*
DATE
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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