My Baptism – Registration Form

My Baptism – Registration Form

Fields marked with a * are mandatory. Please ensure to fill in all the mandatory fields.
Child Section - Please complete the information relating to the person (child or adult) seeking baptism.
Name

FirstOther First NamesLast
First Name*
Other First Names
Last Name*
Date of Birth*

DayMonthYear
Place of Birth*
Civil Registration No.
Gender*

BoyGirl
Father Section - Please enter the information relating to the child's father.
Name*

FirstOther First NamesLast
Occupation/Profession
Mother Tongue
Religion
Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Home Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email
Current Parish*
Mother Section - Please enter the information relating to the child's mother.
Name*

FirstOther First NamesMaiden
Occupation/Profession
Mother Tongue
Religion
Address same as Father's?

Same Address
Mother's Address

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Home Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email
Current Parish*
Godfather Section - Please enter the information relating to the child's godfather.
Name*

FirstLast
City & Province*
Date of Birth*

DayMonthYear
Religion*
Occupation/Profession*
Godmother Section - Please enter the information relating to the child's godmother.
Name*

FirstMaiden
City & Province*
Date of Birth*

DayMonthYear
Religion*
Occupation/Profession*
Comments
Should be Empty: