If more than one adult is to be baptised,
please send an additional form for each person

Full name of adult
Adults Occupation
Proposed date of Baptism The actual date needs to be confirmed by Parish Priest.
Date of Birth

Baptism time (To be confirmed)

Address of adult to be baptised
Post code
Email address of adult
Phone Number of adult
Fathers name  Christian   Surname    
Mothers name  Christian   Surname    
Name of the Parish Church and town/City where baptism to be held.
Please add any additional information or requirements here