Baptism Form Baptism Form Child's Name(Required) First Surname Date of Birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What month would you like your child to be baptised?(Required) Day of Baptism(Required)First Saturday of the MonthThird Saturday of the MonthPlace of Birth(Required) First to be Baptised in New Zealand? Yes No 1) If this is not your first child to be baptised and you already have completed a preparation programme, you are NOT required to participate in another programme. You will need only to take part in the Presentation and Baptism steps. Please book directly with the Parish Office and send in the completed form so that office can prepare the CertificateAbout the ParentsFather's Name(Required) First Middle Last Father's Religion(Required) Mother's Name(Required) First Middle Last Mother's Religion(Required) Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parish- where do you attend church services?(Required) Additional InformationGodparent's Full Name(Required)Maximum 2 and must be Catholic First Name Surname Name First Name Surnanme Promise and Commitment from ParentsYou MAY include our names and/or child's name in your Parish Newsletter(Required) Yes No I will attend the Baptism Preparation For Parent on: MM slash DD slash YYYY Time Hours : Minutes AM PM AM/PM ConcurrenceConcurrence 1) We would ask that if you are able, you make a donation of $100 which would help us. cover expenses and donation to our Clergy Trust Fund – to help our retired, elderly and sick priests of our diocese. 2) Please enclose this with your booking form. (If for any reason this causes hardship please do not hesitate to speak to the Parish Priest). 3) If St Mark’s is not your usual place of worship, we recommend you contact your local parish. Baptism is an important way of making a connection with your local parish and priest, and the future support your local community offers. This is especially important if you will be looking to send your child to the local Catholic school. 4) If you already belong to another parish, then the baptism should take place there. If you are just having your child baptised so that they can attend a Catholic school, then please contact your Parish Priest for further information.Date Completed MM slash DD slash YYYY Signature First Surname Koha ($100)- Bank Account Number: 02 0108 0708684 00Donations will help in the conduct and materials provided in the Sacramental Preparation and support the retired and sick members of the clergy of the Catholic Diocese of Auckland. Please use BAPTISM (surname) as a reference in your deposit. Email a copy of the deposit receipt to the parish: [email protected]. Thank you Attached Copy of Bank ReceiptMax. file size: 50 MB. Δ