Is this your first child to be baptised? *

YES

NO

Child's Name *

First Name

Last Name

Male or Female *

Please tick

Male

Female

Parent's / Guardian's Name *

First Name

Last Name

Religion *

Please tick

Catholic

Christian but not Catholic

Non-Christian

Parent's / Guardian's Name

First Name

Last Name

Religion

Catholic

Christian but not Catholic

Non-Christian

Godfather

The godfather must be a practising Catholic who is over the age of 16 and who has received the Sacrament of Confirmation

First Name

Last Name

Godmother

The godmother must be a practising Catholic who is over the age of 16 and who has received the Sacrament of Confirmation

First Name

Last Name

Christian Witness

If you cannot find two appropriate godparents, you can ask a Christian from another church to be a witness for the baptism ceremony. You still require at least one Catholic godparent.

First Name

Last Name

Parental Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Digital Signature *

By ticking this box I am digitally signing this application form. I agree to the Diocese of East Anglia using the information I have provided on this application solely for the purposes of processing this application and for any other sacramental matters which may arise in the future. I understand that this information will be held indefinitely by the Diocese of East Anglia in secure storage strictly in accordance with the provisions of the EU General Data Protection Regulations (GDPR) 2016/679, as to collection, handling, secure storage, use, retention and disposal of this data.

I agree

Date of Application *

MM

DD

YYYY