My Baptism - Registration Form

Please read the notes below before completing the form. If you prefer to print the form and complete it by hand, please use the PDF version of the "MY BAPTISM" Registration Form: [ PDF (92 Kb) | Help ].

Notes

The accuracy of the information provided is paramount as it will be used to complete the parish register. The first name, other first names and family name of the child/baptized must be the same as those appearing on the civil registration certificate.

SEND THIS REGISTRATION FORM DULY COMPLETED IMMEDIATELY TO THE PARISH OFFICE. WE WILL COMMUNICATE WITH YOU TO SET THE DATES OF THE PREPARATION AND BAPTISM .

Fields marked with a * are mandatory. Please ensure to fill in all the mandatory fields.

Child / Baptised

First Name *
Other First Names * If none, enter 'ONO' (one name only)
Family Name *
Date of Birth (yyyy-mm-dd) * e.g. 1967-07-18
Place of Birth (Hospital/City) *
Civil Registration No.  
Gender *

Point of Contact

Same as Father or Mother? (see below) * If 'Other', please specify...
First and Last Name  
Telephone   e.g. 819-827-0000

Father

First Name *
Other First Names  
Family Name *
Occupation/Profession *
Mother Tongue * If 'Other', please specify:
Religion  
Address *
City *
Province *
Postal Code * e.g. J9B2N7
Telephone - Home * e.g. 819-827-0000
Telephone - Work   e.g. 819-827-0000
Telephone - Cell   e.g. 819-827-0000
E-Mail  
Current Parish *

Mother

First Name *
Other First Names  
Maiden Name *
Occupation/Profession *
Mother Tongue * If 'Other', please specify:
Religion  
Same Address as Father  
Address  
City  
Province  
Postal Code   e.g. J9B2N7
Telephone - Home * e.g. 819-827-0000
Telephone - Work   e.g. 819-827-0000
Telephone - Cell   e.g. 819-827-0000
E-Mail  
Current Parish *

Godfather

First Names *
Family Name *
City *
Province  
Date of Birth (yyyy-mm-dd) * e.g. 1967-07-18
Religion  
Occupation/Profession *

Godmother

First Names *
Maiden Name *
City *
Province  
Date of Birth (yyyy-mm-dd) * e.g. 1967-07-18
Religion  
Occupation/Profession *

Comments

Enter any additional information here  


04/12/2009 4:15 PM