Request for Baptism and Family Information • St Peter's Lutheran Church Loxton

Thankyou for reaching out to us regarding having your child welcomed into God's family!

Please complete this form so we have all the information we need to ensure your child's baptism day is as special as possible.

If you have any further questions or queries, please reach out to us via phone on (08) 8584 5522 or email us at office@stpetersloxton.church.

You may also download our Baptism Booklet for more information on our understanding of baptism and the commitments involved.

Thankyou again!

Child's Surname

Child's Given Names

Child's Date of Birth

Child's Place of Birth

Child's Gender

Father's Surname

Father's Address

Father's Email

Father's Phone

Father's Given Names

Father's Postal Address

Father's Mobile

Mother's Surname

Mother's Address

Mother's Email

Mother's Phone

Mother's Given Names

Mother's Maiden Name

Mother's Postal Address

Mother's Mobile

Other Children

Godparents Names

First Name

Email Address

Phone Number

Middle Name

Last Name

Mobile Number