Child Dedication & Baptism Enquiry Form

First Preference for Baptism Date

Second Preference for Baptism Date

Full Name (Please include any middle names in the first box)

Date of Birth

Address

City

Postcode

Country

Parent #1 Name *

Parent #1 Occupation

Parent #1 Denomination

Parent #1 baptised and confirmed? *

Parent #2 Name

Parent #2 Occupation

Parent #2 Denomination

Parent #2 baptised and confirmed?

First Name *

Last Name *

Email Address *

Phone Number *

All godparents of sponsors must be baptised (but not necessarily Anglican) and at least 18 years of age.

Godparent/Sponsor #1 Name

Is Godparent/Sponsor #1 baptised?

Godparent/Sponsor #2 Name

Is Godparent/Sponsor #2 baptised?

Godparent/Sponsor #3 Name

Is Godparent/Sponsor #3 baptised?

Why do you wish to have your child baptised/dedicated?

Do you have any other comments or requests?