Adult Baptisms

If you would like to be baptised as an adult please complete the form below:

Full Name

First Name

Last Name

Date of Birth

YYYY

Preferred Date of Baptism

YYYY

Reason for choosing St Peter's West Molesey

Approximate number of guests you expect to invite to the service

Father's Full Name

Father's Occupation

Baptised?

Confirmed?

Mother's Full Name

Mother's Occupation

Baptised?

Confirmed?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####