Baptism Booking Form

Giving

St Michael's Uniting Church Baptism Booking Form

Baptism Date
DD slash MM slash YYYY
Child's Full Name*
First Middle Last
Sex
- Male
- Female
- Prefer Not to Answer
Date of Birth*
DD slash MM slash YYYY
Place of Birth*
Name of Parent
Prefix First Middle Last
Name of Parent*
Prefix First Middle Last
Parents’ religious affiliation or background (if any)

Please include any prior connection with St Michael’s
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