Thanksgiving/Baptism Online Response Form

Name of Child *
Date of Birth *

DD
/
MM
/
YYYY
Mother's Name
Father's Name
Have you been Baptised?
 Mother 
 Father 
Please enter a tick in the appropriate box if one or both parents have been baptised.

Address & Contact Details:

Your address
House number & street
*
Town/City *
Post Code: *
Phone Number
Mobile Number
Email *

Other information:

Names of other children
How did you hear about these services at St. Lawrence's?

On receipt of this form, the Vicar or Curate will contact you to arrange a visit to talk about the services we offer at St. Lawrence's. At present you are interested in: *
 A service of Thanksgiving for the Gift of a Child 
 A Thanksgiving Service followed by a Service of Baptism 
 We'd like to meet and chat before deciding 
Any other information you'd like to give us:
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