Please enable JavaScript in your browser to complete this form.1st Preferred Baptism Date (dd/mm/yyyy) *Nominate 2 Sunday dates for your child's Baptism. The Parish Secretary will email/ring you to confirm if you can be accommodated on any of these dates. If not, the Parish Secretary will provide the next available Sunday.2nd Preferred Baptism Date (dd/mm/yyyy)Family Name *Child's Christian Name *Child's Date of Birth (dd/mm/yyyy) *Home Address *Email Address *The parish secretary will contact you through this email address. Please ensure you have entered a valid email address.Phone Number *Father's Name *FirstLastFather's Date of Birth (dd/mm/yyyy) *Father's Religion *Mother's Name *FirstLastMother's Maiden Name *Mother's Date of Birth (dd/mm/yyyy) *Mother's Religion *Place of Marriage *Please place n/a if not applicable.Godfather's Name *FirstLastGodmother's Name *FirstLastOther GodparentsPlease supply other Godparents' names here. Note: only the Godfather and Godmother supplied above will be printed in the child's Baptismal Certificate.Estimate number of people attending the Baptism ceremony *EmailSubmit