Baptism contact form

If you wish to have your child baptised at Odd Rode please complete the form below. We will then contact you and ask you to fill out a full baptism application form.

Child's name:*
Child's age:*
Your name:*
Email address for contact:
Phone number for contact:
Approximate dates requested. Please note: we will probably not be able to baptise on a specific date.:
Church:*	All Saints, Scholar Green St Luke, Mow Cop The Good Shepherd, Rode Heath
Please enter the verification number on the right:*
* Required Fields