Please note: We cannot process your petition until we have complete information, including names of Godparents and agreed upon date/time/city where Baptism will take place. PRIOR to form submission EITHER please contact Guest Master to determine an mutually agreeable date OR provide a preferred date and one or two alternative dates. Thank you. Blessings. Peace be with you. When we receive this form completed by you, we will be better able to serve you. May Peace and Joy be to you and yours now and forevermore. Contemporary Catholic Community Please NOTE: Data Entry Protocols: If requested data does not apply, please leave field empty. Do NOT hit ENTER when supplying data as doing so SENDS the form. Please use standard capitalization norms (i.e., Names: First, Middle, Last). DO NOT enter data all in UPPER CASE or lower case. Please use standard capitalization norms. Thank you. Many Blessings. Please complete the following: Preferred Baptism Date (MM/DD/YY): Alt A Baptism Date (MM/DD/YY): Alt B Baptism Date (MM/DD/YY): Baptizee's Last Name: Please enter today's date: We have read and understand the Frequently Asked Questions regarding Baptism and agree to work with the Contemporary Catholic Communityt given the information contained therein. YES. NO. (Please note: A NO response may place this petition into a Deferred Status until a couple's as yet unanswered questions may be answered and the couple may freely check YES. Please refer inquiries to: Father Oliver. If you have read the FAQ's and have no further question at this time, please check YES.) YES, this is a NEW Baptism Petition we are about to submit. YES, this is an UPDATED Baptism Petition we are now about to submit. We found this site by: (Please click arrow at right) Own Referral WEB Surf Vendor Referral *Friend Referral *Other If *"Friend" or "Other", please type in name or source of contact: Officiant If you have already spoken with a priest/deacon and s/he has agreed to officiate at your ceremony, please note the officiant's name here: (Please click arrow at right) P. Oliver G. Felix Name of priest/deacon whom you may be specifically requesting to officiate at the baptism: (No preference) P. Oliver G. Felix Please enter Baptizee's (Adult or Child) information (as will appear in official record and on baptismal certificate): First Name: Middle Name: Middle Initial: Surname: (Please be sure to note without comma if "Jr." or "II" etc.) Birth Date (MM/DD/YY): City of Birth: Gender: Female. Male. District of Birth: Not Applicable Alfred Nzo Amajuba Amatole Bojanala Platinum Cacadu Cape Winelands Capricorn Central Karoo Chris Hani City of Cape Town Metropolitan Municipality City of Johannesburg Metropolitan Municipality City of Tshwane Metropolitan Municipality Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Eden Ehlanzeni Ekurhuleni Metropolitan Municipality eThekwini Metropolitan Municipality Fezile Dabi Frances Baard Gert Sibande Greater Sekhukhune iLembe John Taola Gaetsewe District Municipality Lejweleputswa Metsweding Mopani Motheo Namakwa Nelson Mandela Bay Metropolitan Municipality Ngaka Modiri Molema Nkangala OR Tambo Overberg Pixley ka Seme Sedibeng Sisonke Siyanda Thabo Mofutsanyane Vhembe Waterberg West Coast West Rand Ugu Ukhahlamba Umgungundlovu Umkhanyakude Umzinyathi Uthukela uThungulu Xhariep Zululand Province of Birth: Not Applicable Eastern Cape Free State Gauteng KwaZulu-Nata Limpopo Mpumalangal Northern Cape North West Western Cape Partner 1's Country of Birth: South Africa Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of the Congo Republic of the Costa Rica Cote dIvoire Ivory Coast Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic of Germany Ghana Gibraltar Great Britain & No. Ireland Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Eire Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Montenegro Yugoslavia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands Spain Sri Lanka St. Christopher St. Kitts & Nevis Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Western Samoa Yemen Zambia Zimbabwe Please enter Parental information (for Infant Only) (as will appear on official record) : Mother's First Name: Mother's Middle Name: Mother's Surname: Religious Affiliation (If none, please enter OPEN or NONE): Mother's Religion of Origin: Has Mother been baptized: YES NO Has Mother been confirmed: YES NO Mother's e-mail address: Mother's work phone number with Area Code: Mother's home phone number with Area Code: Mother's cell hone number with Area Code: Father's First Name: Father's Middle Name: Father's Middle Initial: Father's Surname: (Please be sure to note without comma if "Jr." or "II" etc.) Religious Affiliation (If none, please enter OPEN or NONE): Father's Religion of Origin: Has Father been baptized: YES NO Has Father been confirmed: YES NO Father's e-mail address: Father's work phone number with Area Code: Father's cell phone number with Area Code: If different than mother's, Father's home phone number with Area Code: Permanent Mailing Postal Address (for Adult and Infant): Address: City: District: Not Applicable Alfred Nzo Amajuba Amatole Bojanala Platinum Cacadu Cape Winelands Capricorn Central Karoo Chris Hani City of Cape Town Metropolitan Municipality City of Johannesburg Metropolitan Municipality City of Tshwane Metropolitan Municipality Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Eden Ehlanzeni Ekurhuleni Metropolitan Municipality eThekwini Metropolitan Municipality Fezile Dabi Frances Baard Gert Sibande Greater Sekhukhune iLembe John Taola Gaetsewe District Municipality Lejweleputswa Metsweding Mopani Motheo Namakwa Nelson Mandela Bay Metropolitan Municipality Ngaka Modiri Molema Nkangala OR Tambo Overberg Pixley ka Seme Sedibeng Sisonke Siyanda Thabo Mofutsanyane Vhembe Waterberg West Coast West Rand Ugu Ukhahlamba Umgungundlovu Umkhanyakude Umzinyathi Uthukela uThungulu Xhariep Zululand Province of Birth: Not Applicable Eastern Cape Free State Gauteng KwaZulu-Nata Limpopo Mpumalangal Northern Cape North West Western Cape Postal Code: Country: South Africa Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of the Congo Republic of the Costa Rica Cote dIvoire Ivory Coast Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic of Germany Ghana Gibraltar Great Britain & No. Ireland Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Eire Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Montenegro Yugoslavia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands Spain Sri Lanka St. Christopher St. Kitts & Nevis Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Western Samoa Yemen Zambia Zimbabwe (If another address is to be the permanent address, please write-in that address below in Special Instructions.) Godparents: (Typically, for Infant only there is only one set of Godparents. Please list here the principal Godparents. If there are others, please list below in Additional Comments.) Godmother's First Name: Godmother's Middle Name: Godmother's Surname: Godmother's Religious Affiliation (If none, please enter OPEN or NONE): Godmother's Religion of Origin: Has Godmother been baptized: YES NO Has Godmother been confirmed: YES NO Godfather's First Name: Godfather's Middle Name: Godfather's Surname: (Please be sure to note without comma if "Jr." or "II" etc.) Godfather's Religious Affiliation (If none, please enter OPEN or NONE): Godfather's Religion of Origin: Has Godfather been baptized: YES NO Has Godfather been confirmed: YES NO Baptismal Information (Logistics): Baptismal Date: Pls Select Month January February March April May June July August September October November December Pls Select Date 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Pls Select Year 2012 2013 2014 Baptism Time: <Please enter WITHOUT COLON (:)> AM PM Baptism Location: Address: City: District: Not Applicable Alfred Nzo Amajuba Amatole Bojanala Platinum Cacadu Cape Winelands Capricorn Central Karoo Chris Hani City of Cape Town Metropolitan Municipality City of Johannesburg Metropolitan Municipality City of Tshwane Metropolitan Municipality Dr Kenneth Kaunda Dr Ruth Segomotsi Mompati Eden Ehlanzeni Ekurhuleni Metropolitan Municipality eThekwini Metropolitan Municipality Fezile Dabi Frances Baard Gert Sibande Greater Sekhukhune iLembe John Taola Gaetsewe District Municipality Lejweleputswa Metsweding Mopani Motheo Namakwa Nelson Mandela Bay Metropolitan Municipality Ngaka Modiri Molema Nkangala OR Tambo Overberg Pixley ka Seme Sedibeng Sisonke Siyanda Thabo Mofutsanyane Vhembe Waterberg West Coast West Rand Ugu Ukhahlamba Umgungundlovu Umkhanyakude Umzinyathi Uthukela uThungulu Xhariep Zululand Province-Site: Not Applicable Eastern Cape Free State Gauteng KwaZulu-Nata Limpopo Mpumalangal Northern Cape North West Western Cape Postal Code: Country: South Africa Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic of the Congo Republic of the Costa Rica Cote dIvoire Ivory Coast Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic of Germany Ghana Gibraltar Great Britain & No. Ireland Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Eire Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Montenegro Yugoslavia Seychelles Sierra Leone Singapore Slovak Republic Slovakia Slovenia Solomon Islands Spain Sri Lanka St. Christopher St. Kitts & Nevis Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis & Futuna Islands Western Samoa Yemen Zambia Zimbabwe Site Coordinator: Phone number with Area Code: FAX number with Area Code: E-mail address: Approximate Number of Guests (maximum): Additional Comments: (Please do NOT hit ENTER when entering information.) Congratulations and Thank you. Peace and Joy to you and yours. Contemporary Catholic Community Please PRINT this form for your records prior to clicking Submit. Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear. In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Baptism Petition and in message area: your contact e-mail, Last Name , Date of Baptism (mm-dd-yy) and phone number. We will confirm within 24 hours whether or not we received your petition. Thank you. The Sacrament of Baptism Rite of Baptism Catholic Spirituality Being Christ-like: Self-emptying The Network's Brochure The Order's Brochure Homepage Copyright © 2010 White Robed Monks of St. Benedict: South Africa Presence
Preferred Baptism Date (MM/DD/YY): Alt A Baptism Date (MM/DD/YY): Alt B Baptism Date (MM/DD/YY): Baptizee's Last Name:
Please enter today's date:
YES, this is a NEW Baptism Petition we are about to submit. YES, this is an UPDATED Baptism Petition we are now about to submit.
We found this site by: (Please click arrow at right) Own Referral WEB Surf Vendor Referral *Friend Referral *Other If *"Friend" or "Other", please type in name or source of contact:
Please enter Baptizee's (Adult or Child) information (as will appear in official record and on baptismal certificate):
Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear. In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Baptism Petition and in message area: your contact e-mail, Last Name , Date of Baptism (mm-dd-yy) and phone number. We will confirm within 24 hours whether or not we received your petition. Thank you.