Baptism Form

Child's Name(Required)

First Middle Last

Date of Birth(Required)

Place of Birth(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parish- where do you attend church services?(Required)

Is this your first child to be Baptised in New Zealand(Required)

If this is your first child to be baptised, you will need to attend the Baptism Programme. Please contact the Parish Office

Day of Baptism(Required)

What month would you like your child to be baptised?(Required)

This is the first child I/we are having baptised(Required)

Yes

Please contact the office if you have attended a Baptism Preparation Programme

Mother's Name(Required)

First Middle Last

Mother's Religion(Required)

Father's Name(Required)

First Middle Last

Father's Religion(Required)

Godparent's Full Name(Required)

Maximum 2 and must be Catholic

First Name Surname

Name

Christian Name Surnanme

Name of person filling out the form(Required)

Date form completed(Required)

Promise and Commitment from Parents

I agree and consent in this being a digital signature to the agreement

Koha ($100)- Bank Account Number: 02 0100 0120982 04

Donations 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 Receipt

Max. file size: 50 MB.

NOTE

This email is directed to the admin mailbox and you will not receive a response.