Application for Infant Baptism

Please complete this form if you would like your baby or infant to be baptised.

NOTE: This information will be used for the baptism register and baptism certificate so please make sure spelling is correct.

Baptism Form

Childs Full Name*
First Middle Last
Gender of Child*
- Male
- Female
Date of Birth*

Day
Month
Year
Place of Birth*
Father's Full Name*
First Middle Last
Father's Religion*
Mother's Full Name*
First Middle Last
Mother's Maiden Name
Mother's Religion*
Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Phone*
Mobile Phone*
Email*
Name of Godparents*
(Separate with comma. eg. John Smith, Jane Smith)
Other Notes or Message