Application for baptism

Please enter the details of the child, parents and godparents.

Once you have submitted the form somebody from St Chad's will contact you.  Please make sure you provide at least one telephone number or email address!

Christian name of child:*
Surname of child:*
Date of birth:*
Address of child:*
Mother's name and address:*
Mother's address:
Mother's phone number:
Mother's email address:
Father's name:*
Father's address:
Father's phone number:
Father's email address:
Godparents' names (Godparents should have been baptised. Between two and four godparents can be named):
Preferred date and time for the baptism service. (This needs the agreement of priest or churchwardens):
Approximate number of people expected to attend:*
Any further information you wish to provide:
Please enter the verification number on the right:*
one two two two six
* Required Fields