Baptism Booking Form

St Michael's Uniting Church Baptism Booking Form

Baptism Date*
Date Format: DD slash MM slash YYYY
Full Name*
First Middle Last
Sex*
- Male
- Female
Date of Birth*
Date Format: DD slash MM slash YYYY
Place of Birth*
Name of Father*
Prefix First Middle Last
Name of Mother*
Prefix First Middle Last
Contact Details*
Phone Email Address
Any information you supply to St Michael’s is protected by our Privacy Policy. Please note a permanent entry of your child’s baptism is kept in our records. We also may contact you about other events at St Michael’s. If you would prefer not to be contacted in the future, please ring the office Ph: 9654 5120 or Email: office@stmichaels.org.au
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Phone	Email	Address