Baptism application form

If you do not live within our parish boundaries please do not complete and submit this form unless you have first forwarded the email permission from your local vicar for us to perform the baptism.

There is space to record up to 4 Godparents.

Church where the Baptism is requested *

St Sampsons Cricklade

Holy Cross Ashton Keynes

St Johns Latton

All Saints Leigh

What is your connection with this church? *

If you live out of area have you sent us the email permission from the vicar of your local parish church? *

Mother's Christian names *

Mother's surname *

Mother's occupation *

Father's Christian names

Father's surname

Father's occupation

Full name of child to be baptised - please give SURNAME in CAPITALS *

Date of birth *

Full name of 2nd child to be baptised

Date of birth

Email address *

Postal address *

Phone number *

Full name of Godparent 1 *

Has Godparent 1 been baptised? *

Yes

Full name of Godparent 2 *

Has Godparent 2 been baptised? *

Yes

Full name of Godparent 3

Has Godparent 3 been baptised?

Yes

Full name of Godparent 4

Has Godparent 4 been baptised?

Yes

Full name of Godparent 5

Has Godparent 5 been baptised?

Yes

* Required Fields