Sacraments of Initiation (Program) - Maria Assumpta Church

Family Name*
Last
Child's Name*
First Last
Address*
Street Address Suburb City Post Code
Phone/Home
Phone/Mobile*
Email*
Child's Date of Birth*
Month
Day
Year
Child's Date of Baptism*
Month
Day
Year
Parish Baptised*

If you are not baptised by Maria Assumpta-please email the Baptism Cert to: secretary@mariaassumpta.org.nz
Permission
I am a Baptised Catholic & agree to accompany & support this child throughout this programme. I also understand that this includes adult sessions which will help me do this.
Parent/Caregivers Name*
First Last
By entering your name here you are electronically signing this form.
Role*

(Parent, Grandparent, godparent etc)
Date*
Month
Day
Year

Permission