Online Baptism Application

Your Name*

Your Email*


Church*
S. Mary the Virgin, BickleighS. Edward, Shaugh PriorS. Anne, GlenholtS. Cecilia, Woolwell

Preferred Date of Baptism*

Preferred Time of Baptism* (select from the following)


Child's Date of Birth*

Child's Full Name*

Father's Name*

has Dad been
Baptised?Confirmed?

Father's Occupation*

Mother's Name*

has Mum been
Baptised?Confirmed?

Mother's Occupation*

Your address*

Phone number*


Godparent 1

has Godparent 1 been
Baptised?Confirmed?

Godparent 2

has Godparent 2 been
Baptised?Confirmed?

Godparent 3

has Godparent 3 been
Baptised?Confirmed?

Godparent 4

has Godparent 4 been
Baptised?Confirmed?


Comment / Notes