Baptism Record Form New

BAPTISM RECORD FORM

Surname*
Child's Names*
First Middle
Is this your First Child to be Baptised?*
If this is your first child to be baptised, you will have to attend the Baptismal Programme. Please contact the Parish Office.
- Yes
- No
Date of Birth: date/month/year*
Date Format: MM slash DD slash YYYY
Place of Birth*
Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Phone/Mobile*
Email*
Father's Christian Names*
First Surname
Mother's Christian Names*
First Surname
Are the PARENTS Catholic?*
- Yes
- No
Parish - where do you attend regular church service
Godparent's Names*
Christian Name Surname
Are the GODPARENTS Catholic?*
- Yes
- No
Date of Baptism (1st and 3rd Saturday only) @ 11 AM*
Format: dd/mm/yyyy
Date Format: DD slash MM slash YYYY
Please select one of the following*
Name of person filling in form*
Date form completed*
Date Format: MM slash DD slash YYYY
Koha ( $100 )- Bank Account Number: 02 0100 0120982 04
Donations will help in the conduct and materials provided in the Sacramental Programmes and support the retired and sick members of the clergy of the Catholic Diocese of Auckland. Please use BAPTISM ( surname) as a reference in your deposit. Email a copy of the deposit receipt to the parish: admin@stmark.org.nz. Thank you.
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Christian Name	Surname