St Peter's Hornsby

Thanksgiving for a Child

Application Form

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

Names of child .........................................................................................

Surname of child            ..........................................................................................

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

Parents' Names             ...........................................................................................

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

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

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

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

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

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

Preferred date of Thanksgiving Service                          ...................................................................

Second choice for date of Thanksgiving  Service           ...................................................................

Third choice for date of Thanksgiving  Service               ...................................................................

Please fill this in and give to the Rev Robert Denham at the conclusion of the 9.30am service, or e-mail it rector@hornsbyanglican.org.au, or fax (02) 9482 7250.

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