Please only fill in this form once you have ascertained that I am available for your child's Christening / Naming day.

Please read carefully and then complete this form. I will then contact you to make an appointment to meet to discuss the ceremony.

The costs involved :
Ceremony : See individual ceremony details.
Baptism / Christening / Naming certificate : No Charge.
A 50% deposit is required to confirm the booking, and the balance no later than one week before the event. Please note that the booking will not be confirmed before the deposit is paid.

Round Trip Travelling Fee (from Bergvliet, Cape Town.)
0-20km : No charge.
21-40km : R100.00.
41-60km : R200.00.
61-80km : R300.00.
81-100km : R400.00.
100 km+ : Negotiable.

NB : Deposits are non-refundable in the event of cancellation.







Your Full Names:
Your Email Address:
Your Telephone Number:
Planned Event Date:
Planned Event Time: :
Venue Name:
Venue Address:
Venue Telephone Number:
Venue Contact Person:
Number of Guests:
Type of Ceremony: Religious   Non-Religious   Other  

INFORMATION REQUIRED FOR CERTIFICATE

For the Child:
Date of Birth (YYYY MM DD):
Nationality:
Surname:
Forenames:

  ________________________________________________________________________________  

For the Husband:
Date of Birth (YYYY MM DD):
Nationality:
Surname:
Forenames:
SA Contact Number:

  ________________________________________________________________________________  

For the Wife:
Date of Birth (YYYY MM DD):
Nationality:
Surname:
Forenames:
SA Contact Number:

  ________________________________________________________________________________  

For the godparents:
godparent # 1
Surname:
Forenames:
godparent # 2
Surname:
Forenames:

  ________________________________________________________________________________  

Who will participate in the Ceremony?: Both Parents   Mother Only   Father Only  
Godparents?: Yes   No  

  ________________________________________________________________________________  

Any Comments?:

  ________________________________________________________________________________  

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Tel (Internatonal) : +27 72 317 5869
Tel (In SA) : 072 317 5869