Online Baptism Application

NOTE: Don’t try and complete this form using Safari on a Mac or iOS. It doesn’t like the date. You might be able to type in dd/mm/yyyy but my advice is to use Chrome, Firefox or any better browser…

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

GDPR Notice:

By completing this form, the data will be securely stored under the GDPR regulations of 2018. We will only use it to contact you in relation to our worship, events and services. You have the right to opt-out from receiving any communications from us at any time.