Application for Baptism

Church use

Date and time of service:

Church:	Officiant:

Child's Full Name
Child's date of birth
Church requested
Month /date requested

Father's full name
Father's occupation
Mother's full name
Mother's occupation
Parent's address
Postcode
Contact telephone number [s]
Contact email address[es]
Full names of Godparents [please print].

Godparents should be baptised, and if possible, confirmed members of the Church of England.

Practising members of other Christian traditions will be considered after consultation.

The minimum age for Godparents is 16 years.

Data protection: are you happy for the Astley, Tyldesley, Mosley Common Team of churches to hold your contact details for sharing information with you in the future?

YES / NO

Susan Mallon

2022-02-23

St Georges CE Girl

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