Baptism Application Child's Full Name * Child's Date of Birth * Preferred date of Baptism * Why have you chosen St Mary’s for the Baptism? * Approximately how many adults and children will you invite to the service? * Name(s) and Age(s) of your other children * Parent's Details Father's Name * First Name Last Name Father's Occupation * Was Father Baptised? * Yes No Was Father Confirmed? * Yes No Mother's Name * First Name Last Name Mother's Occupation * Was Mother Baptised? * Yes No Was Mother Confirmed? * Yes No Parent's Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Email * Contact Phone * Godparent's Details Godparent #1 Name First Name Last Name Was Godparent #1 Baptised? Yes No Was Godparent #1 Confirmed? Yes No Godparent #1 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Godparent #2 Name First Name Last Name Was Godparent #2 Baptised? Yes No Was Godparent #2 Confirmed? Yes No Godparent #2 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Godparent #3 Name First Name Last Name Was Godparent #3 Baptised? Yes No Was Godparent #3 Confirmed? Yes No Godparent #3 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Godparent #4 Name First Name Last Name Was Godparent #4 Baptised? Yes No Was Godparent #4 Confirmed? Yes No Godparent #4 Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you for submitting your Baptism Application we will be in touch with you shortly.