"And when the days of her purification according to the law of Moses were accomplished, they brought him to Jerusalem, to present him to the Lord; (Luke 2:22, KJV).

Father's Details

Title

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Name *

First name *

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Middle name(s)

Surname *

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Email *

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Mobile *

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Address

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Address 2

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Address 3

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Town

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County

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Postcode

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Country

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Relationship Status *

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Mother's Details

Title

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Name *

First name *

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Middle name(s)

Surname *

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Mobile *

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Address

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Address 2

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Address 3

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Town

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County

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Postcode

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Relationship Status *

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Child's Details

Godfather

Title

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Name

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Middle name(s)

Surname

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Mobile

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Address

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Address 2

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Address 3

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Town

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County

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Postcode

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Country

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Godmother

Title

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Name

First name

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Middle name(s)

Surname

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Mobile

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Address

Address 1

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Address 2

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Address 3

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Town

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County

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Postcode

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Country

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Referee's Details

Title

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Name

First name

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Middle name(s)

Surname

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Mobile

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How long has the referee known the family?

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Thank you for completing the Child Naming form.

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