Please complete and return to: 
Ku-ring-gai Chase Catholic Parish    PO Box 3196    Asquith  NSW  2077
PLEASE PRINT

Candidate’s Given Name/s: (one of the names should be that of a Saint)
________________________________________________

Family Name: __________________________________________

Date of birth: ___________________________________________

Place of Birth (Suburb): ___________________________________

Father’s name (in full)_____________________________________

Religion of Father: _______________________________________

Mother’s Maiden name (in full)_____________________________

Religion of Mother: _______________________________________

Present Address:__________________________________________

_______________________________________________________

Phone: _________________________________________________

Church of Marriage: _______________________________________

_______________________________________________________

Godparents and their religion:* see previous page

---------------------------------------------------------------------------------------------------------------------------------------------------

_______________________________________________________

Date of Talk you wish to attend: ______________________________
Date of Anointing Mass: ____________________________________
Date of Baptism: __________________________________________