PLEASE COMPLETE AND RETURN TO THE SCHOOL WITH A COPY OF THE by tamir13

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									PLEASE COMPLETE AND RETURN TO THE SCHOOL WITH A COPY OF THE
BAPTISMAL CERTIFACTE, (IF APPROPRIATE.) IF YOUR CHILD IS A PRACTISING
CATHOLIC OR IS A MEMBER OF ANOTHER CHRISTIAN DENOMINATION OR OF
ANOTHER FAITH PLEASE ASK THE PRIEST/RELIGIOUS LEADER TO COMPLETE AND
SIGN PART B BEFORE YOU RETURN IT TO THE SCHOOL.

ST. THOMAS MORE CATHOLIC PRIMARY SCHOOL, REFERENCE FORM

Part A (to be completed by the parents/guardians)
Name of child:………………………………………………………………………………………..
Date of Birth: ……………………………….……
Name(s) of parent(s)/guardian(s): …………………………………………………………………...
Child’s home address: ………………………………………………………………………………..
………………………………………………………………………………………………………...
………………………………………………………………………………………………………...
Telephone number: ………………………………
Christian denomination or religious practice of child: ……………………………………………….
Christian denomination or religious practice of parent(s)/guardian(s)………………………………..
Church/Place of regular worship: …………………………………………………………………….
Parish (for Catholic applicants): ……………………………………………………………………...
Is the child baptised? YES/NO In which denominations? …………………………………………..
Date of baptism/faith initiation: ……………………….. Place of baptism/initiation………………..

Catholics and those who attend regular faith worship are advised to take this form to their
priest/minister of religion to seek his/her support with this application. Please also attach a copy of
the baptismal certificate with this form.

Declaration by parent(s)/guardian(s)
I/We confirm that these statements are true and note that in the case of a fraudulent application any
place offered may subsequently be withdrawn.

Signature(s) of parent(s)/guardian(s)…………………………………………………………………..
Date ……………………………….

Part B (to be completed by the priest/minister of religion)
The child is a member of a practising family YES/NO
The parents are known to me YES/NO              The child is known to me YES/NO
The child is baptised or is currently enrolled for baptism within this parish YES/NO
On the basis of the information provided above I support this application YES/NO

Declaration by priest (or minister of religion as appropriate):

I confirm that these statements about the child named above and his/her family’s practice are true to
the best of my knowledge and belief.

Name: ………………………………………………………………………………………………...
Signature: ……………………………………………. Date: ……………………………………

Please apply Paris seal over the priest’s signature.


Part C
Copy of Baptismal Certificate attached YES/NO

								
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