Baptism Request Form

First Parent's Details
Name*
First Last
Parent/s Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Parent's Email*
Parent's Phone*
Parent's Mobile Phone
Has this parent been baptised?
- Yes
- No
Has this parent been confirmed?
- Yes
- No
This parents occupation
Second Parent's Details
Name*
First Last
Has this parent been baptised?
- Yes
- No
Has this parent been confirmed?
- Yes
- No
This parents occupation
Second Parent's Address & Contact Details if different from above
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email
Phone*
Child to be Baptised Information
ALL Christian names of the child
Surname name of the child
Child's Date of Birth
Date Format: MM slash DD slash YYYY

Names of Siblings

One name per line. Add lines by clicking the + to the right.

Full Name/s of Godparents

Connecting Factors
If you are not resident in the Parish of Wyke Regis what is your connecting factor ie why do you think we should be doing this baptism?
Any Additional Relevant Information
CAPTCHA

Crib, All Saints Church

All Saints Church
18 March 2018

All Saints Church - Copyright: Karal Gowlett

All Saints Church - Copyright: Karal Gowlett