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

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

Day Month Year
Place of Birth *
Civil Registration No.
Gender *

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

First Other First Names Last
Occupation/Profession
Mother Tongue
Religion
Address *

Street Address

Street Address Line 2

City Province

Postal Code Country
Home Phone *

Area Code Phone Number
Work Phone

Area Code Phone Number
Cell Phone

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

First Other First Names Maiden
Occupation/Profession
Mother Tongue
Religion
Address same as Father's?

Same Address
Mother's Address

Street Address

Street Address Line 2

City Province

Postal Code Country
Home Phone *

Area Code Phone Number
Work Phone

Area Code Phone Number
Cell Phone

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

First Last
City & Province *
Date of Birth *

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

First Maiden
City & Province *
Date of Birth *

Day Month Year
Religion *
Occupation/Profession *
Comments
Should be Empty: