Child's name

    Child's date of birth

    Preferred date and time of Baptism

    Preferred Location

    Address


    Telephone

    Email

    Father's name

    BaptisedConfirmed

    Father's Profession

    Mother's name

    BaptisedConfirmed

    Mother's Profession

    First Godparent

    BaptisedConfirmed

    Second Godparent

    BaptisedConfirmed

    Third Godparent

    BaptisedConfirmed

    Data Protection

    The Security of your data is important to us

    Would you like details of your service, including your child's name, published in our church calendar, so that members of the church can pray for you?

    Publicise

    Would you like contact details entered on our church database so that we can keep you informed of church events which may be of interest to you?

    Keep me informed

    Notes