Cottesloe & Mosman Park Parish, W.A

Baptism Form

Cottesloe & Mosman Park Parish, 2 McNeil St, Peppermint Grove, WA 6011

Baptism Ceremony
Baptisms are held on the 2nd and 4th Sunday of each month at 11.00am.
Date of Baptism *

Day Month Year
Please select the 2nd or 4th Sunday of the month.
Place of Baptism *

St Mary Star of the Sea Church, Cottesloe Corpus Christi Church, Mosman Park Either
Would you like your child to have an immersion baptism?

Yes No I would like more information
Child's Name *

Christian Name Last Name
Child's Date of Birth *

Day Month Year
Child's Place of Birth *
Address *

Street Address

Street Address Line 2

State

Post Code Country
Phone *
Email *
example@example.com
Father's Name *

First Name Last Name
Father's Religion *
Mother's Name *

First Name Last Name
Mother's Maiden Name *

First Name Last Name
Mother's Religion *
How many godparents do you wish your child to have? *
This godparent must be a Catholic who has been confirmed and received the blessed Eucharist.
Godparent's Name *

First Name Last Name
This godparent may be a Catholic or a baptised person who belongs to a non-catholic ecclesial community.
Godparent's Name

First Name Last Name
Godparent's Religion

Catholic

Preparation Evening
Baptism Preparation Evenings are held on the 1st and 3rd Wednesday of each month at 6.00pm.

They are held in the Parish Centre, which is located next to St Mary Star of the Sea Church. Both parents and godparents are required to attend.
Date of Preparation Evening *

Day Month Year
Please select the 1st or 3rd Wednesday of the month.

Once you have submitted this form, please contact the Parish Office to confirm your booking.

Email	cottesloe@perthcatholic.org.au
Phone	+61(8) 9384 2421
Address	2 McNeil St, Peppermint Grove, WA 6011
Office hours	Tuesdays & Thursdays, 9.30am - 12.30pm

Parent's Signature *

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Baptism Form