Admission to Communion Application Form

Child's Name(s)

Child's Surname

Child's Date of Birth

Child baptised?

Yes No

Date of Baptism

Church where baptised

Father's ID No

Father's Name(s)

Father's Surname

Father's Address

Father's Mobile No

Father's Email

Father baptised?

Yes No

Father confirmed?

Yes No

Mother's ID No

Mother's Name(s)

Mother's Surname

Mother's Address (if different from above)

Mother's Mobile No

Mother's Email

Mother baptised?

Yes No

Mother confirmed?

Yes No

Child's Birth Certificate

Child's Baptism Certificate

Pages

73 5th Road, Halfway Gardens
Johannesburg
2198 South Africa