Baptism Registration Form

Registration form for Baptism

CHILD'S NAME *

First name

Middle name

Last name

Child's Gender

Date of Birth *

Contact Details

Email address

Cell phone

Household Address

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Mother's Name

First name

Last name

Mother's Maiden Surname

Only needed where applicable.

Mother's Religion

Father's Name

First name

Last name

Father's Religion

Baptism Church *

Which church would you like for the Baptism

Cathedral of the Holy Spirit

Our Lady of Lourdes

St Mary's Foxton

Do you wish to give a donation?

Yes

*if you wish to give a donation please talk with us on how to do this.

Do you wish to subscribe to our online newsletter

Yes

Disclaimer:
Please be advised that your data will be entered into the Parish Database for record keeping.
By ticking the box below, you understand that you are giving the parishes of Kotahi Ano permission to store your data online in a secured online database which will only be used by the Kotahi Ano parish staff.

I have read and understand the above disclaimer. *

I have read and understand the above disclaimer.