Mt Barker-Strathalbyn Catholic Parish
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Baptism Application Form
(please complete and then Submit)
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Family Name
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Full Name Of Child
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Gender
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Date Of Birth
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dd/mm/yyyy
Place Of Birth
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Date And Time Of Baptism
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If known
Date of Presentation to the Community
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If known
Other Children's Names
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Name of Church
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Preferred Days and Times to meet with Baptism Team
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Weekdays only am, pm or evening
Celebrant
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Mother's Full Name
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Mother's Maiden Name
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Mother's Religion
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Father's Full Name
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Father's Religion
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Parent Contact Phone No
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Residential Address
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Postal Address
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If different from above
Parent Contact Email
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God Parent's Names and Religion (eg. Tom Smith, Catholic)
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Comments
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