JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Baptism Enquiry
* Indicates required question
Email
*
Record my email address with my response
Location
Hackney
Shoreditch
West Ham
Leyton
Clear selection
Full name of person being baptised
Your answer
Date of Birth
Your answer
Address
Your answer
Mother's name
Your answer
Mother's occupation
Your answer
Mother's email and phone (only applicable for infant baptisms)
Your answer
Father's name
Your answer
Father's occupation
Your answer
Father's email & phone (only applicable for infant baptisms)
Your answer
Godparents (if applicable)
Your answer
Would you like a baptism certificate for £18? (only applicable for infant baptisms)
Yes
No
Clear selection
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hackney Church.
Report Abuse
Forms
