About you and your Child.

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Please complete the following details about you and your child. All information is kept in the strictest confidence.

Email *

Please note that this form should be a copy of the Birth Certificate. All details on the Birth Certificate should appear on this form. If the Mother and Father appears on the Birth Certificate, then they should appear on this form. Please also note that one person only has to agree to the baptism of the Child, that can be the Mother, or Father, or Legal Guardian, but not Grand Parents, Aunts and Uncles.

Please enter your child's, details and FULL Name including any Middle Names.

FirstNames *

Surname *

DateofBirth *

YYYY

Please state whether your Child is a boy or a Girl. This sounds odd, but Some names can be both male and female. This information is required for the Baptism Certificate.

Son or Daughter *

Boy

Girl

MothersName *

Please enter the Mothers Maiden Name, that is, her Surname before Marriage (Nee).

SurnameFormally

Mothers Denomination *

Catholic

Church of England

Other:

FathersName *

Fathers Denomination *

Catholic

Church of England

Other:

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