BAPTISM APPLICATION FORM

Please save and return to: office@copthornechurch.org

Child’s Name Click or tap here to enter text. Child’s Date of Birth: Click or tap to enter a date.

Address: Click or tap here to enter text. Postcode: Click or tap here to enter text. Contact No: Click or tap here to enter text. Email: Click or tap here to enter text. Mother’s Christian Name: Click or tap here to enter text. Surname: Click or tap here to enter text. Occupation: Click or tap here to enter text. Have you been baptised? (Please x as appropriate) Yes☐No☐ Father’s Christian Name: Click or tap here to enter text. Surname: Click or tap here to enter text. Occupation: Click or tap here to enter text. Have you been baptised? (Please x as appropriate) Yes☐No☐ Requested Baptism date: Click or tap to enter a date. Preferred Service time: Choose a Service

NAMES AND ADDRESSES OF GODPARENTS

The tradition is for three godparents (two must be of the same sex as the child). Godparents should themselves be baptised and confirmed, where this is not the case, make sure you discuss this at the time of your baptism preparation meeting.

Title: Click or tap here to enter text. Christian Name: Click or tap here to enter text. Surname: Click or tap here to enter text. Address: Click or tap here to enter text. Postcode: Click or tap here to enter text. Email: Click or tap here to enter text. Have you been baptised? (Please x as appropriate) Yes☐No☐ Title: Click or tap here to enter text. Christian Name:Click or tap here to enter text. Surname: Click or tap here to enter text. Address: Click or tap here to enter text. Postcode: Click or tap here to enter text. Email: Click or tap here to enter text. Have you been baptised? (Please x as appropriate) Yes☐No☐ Title: Click or tap here to enter text. Christian Name: Click or tap here to enter text. Surname: Click or tap here to enter text. Address: Click or tap here to enter text. Postcode: Click or tap here to enter text. Email: Click or tap here to enter text. Have you been baptised? (Please x as appropriate) Yes☐No☐