Child's name * (First name and middle name) First Name Last Name Child's date of birth * Please write eg 2nd March 2022 Father's name * One parent must be a Catholic. First Name Last Name Religion of father * Mother's name * First Name Last Name Mother's Maiden Name * Please add if different to Surname. The Mother's maiden name is required for the Baptism register and on the official certificate. Religion of the mother * Residential address : * Street address (not a PO Box). Include suburb & postcode. Contact phone number * (###) ### #### Email * All correspondence will be sent to your email address, as below. Additional child to be baptised? (First name and middle name) First Name Last Name Child's date of birth Please write eg 2nd March 2022 Names and religions of godparents? One godparent must be a Catholic. Please include the religion of each godparent beside their name. Parent Preparation Sessions * Please select only ONE of the following dates for which you will attend October 2nd 2024 October 30th 2024 November 13th 2024 December 4th 2024 Proposed dates of Baptism Baptisms may be booked out for several months. Other children in the family? Please write their names and dates of birth. Any further information or questions? Please contact : belmont@cam.org.au I give permission for my family's details to be added to St Bernard's Parish records. Yes No Privacy Statement Thank you!