Keppel Baptism Form
Anglican Parish of Keppel
The Mother and Father of the child are asked to fill in the following statement of particulars and to sign the undertaking below.
Child' Full Name
Date of Birth
Gender
Male
Female
Father's Full Name
Father's Occupation
Father's Mobile Phone
Mother's Full Name
Mother's Occupation
Mother's Mobile Phone
Home Address
Home City
Phone Number
Home Postcode
Email Address
Names of Godparents :
God Parent #1 Name
God Parent #2 Name
God Parent #3 Name
God Parent #4 Name
STATEMENT OF UNDERTAKING BY THE PARENTS
I undertake to endeavor, with God's help, to bring up my child in the Christian faith and according to the teachings of the Anglican Church. I will encourage my child by my example and teaching in this life of the local church community.
Father agrees
Mother agrees
Any other requests or comments
Submit