Baptism Form

Person being baptised

Full Name(Required)

Given Last

Gender(Required)

Male

Female

Date of Birth(Required)

Preferred Sunday

Father

Name

First Last

Occupation

Baptised

Yes

Mother

Name

First Last

Occupation

Baptised

Yes

Godparents

Name(Required)

First Last

Name

First Last

Other Details

Address

Street Address Address Line 2 City State Postcode

Phone

Email

Church where service will take place

I’m happy for photos of the baptism to be used for parish promotion and record keeping

Yes

No

Have any other immediate family members been baptised within the parish?

Yes

No

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