Baptism Application Form

Please complete and submit the application below or, if you prefer to print here it is. You will have to drop it into the Church Office or send it to 2 Terralong St, Kiama NSW 2533

Full Name of Person to be Baptised: *

First

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):