Form – Sacrament of Baptism (babies/infants)

Baptism Date: Please choose from the following Saturdays (To be confirmed by St Joseph’s Church)*

4 Jan8 Feb22 Feb8 mar22 Mar

Baptism Preparation 11am-12:30: Please choose a date below:*

7 Dec11 Jan1 Feb1 Mar

First Name of Child:*

Last Name of Child:*

Date of Birth:*

Place of Birth:

City (birth place) :*

Country (birth place)

Father's First Name:*

Father's Last Name:*

Mother's First Name:*

Mother's Last Name:*

Mother's Maiden (name before Marriage):*

Home Address:

Street Address:*

City:*

Postal / Zip Code:*

Country:*

Area Code and Phone Number:*

E-mail Address:*

One Godfather:*

Proxy Godfather (If not present):

One Godmother:*

Proxy Godmother (If not present):

Name and address of your Parish:*

Have you previously had a child baptised at St Joseph’s Church?*

YesNo

If, yes, name of child and date of baptism: