St Peter's Hornsby

Adult Baptism Application Form

Date of application        ...............................................

Christian Names           .........................................................................................

Surname                       ..........................................................................................

Date of Birth                 ................................................

Address                       ................................................................................................................................

                                   .................................................................................................................................

Phone Number            .......................................................

Sponsors                     ............................................................................................................

                                   ............................................................................................................

                                   ............................................................................................................

Parents' Names             ...........................................................................................  (optional)

Date arranged with Minister for Baptism             ...................................................................

Please fill this in and give to the Rev Robert Denham at the conclusion of the 9.30am service.

All information collected is used for St Peter's records and use only.