Baptism Application Online Form

Please complete and submit the application below.

Full Name (including middle name/s) of Person to be Baptised: *

First

Middle

Last

Date of Birth: *

Gender *

Male
Female

Requested Date for Baptism (not confirmed until interview): *

Home Address:

If you are not a resident of Kiama (postcode 2533) please tell us why you wish to have your child baptised here and not at your local church. *

Contact Phone Number(s): *

Email *

CHILD BAPTISM ONLY - Childs' Father’s Full Name and Occupation:

CHILD BAPTISM ONLY - Childs' Mother’s Full Name and Occupation:

For a child’s baptism, 2-3 godparents are recommended, though not essential; adults may choose ‘sponsors’ to support them. Full Names of Godparents/Sponsors: (Not necessary at application stage)

I apply for baptism at Kiama Anglican Churches for:

Myself
My child

and will participate in at least one pre-baptism interview with the Minister before details are finalised. *

First

Last

Minister's signature (when complete):

Phone