INFORMATION TO BE GIVEN BY PARENTS TO ASSIST WITH THE
This template is designed to assist with registering your new baby. Please fill in the answers
and then email it to email@example.com before your registration appointment.
The registrar may ask other questions and expand on answers given to ensure that the birth is
registered as accurately as possible. Any errors after registration will be subject to correction
and appropriate fees will apply.
Name of Person completing this form: ___________________________________________
Date of appointment: _____ / __________ / ______ Time: _____ : _____
Please provide baby’s date of birth
2. Place of birth This will be the name of the hospital, or if
home birth, the name or number of the
house, the name of the street and village
If the birth took place in an ambulance, car
etc, you will need to provide further details
– advice will be given by the registrar.
name the child will be
brought up in
You can choose up to 4 names for baby,
plus a surname.
Please include any foreign accents if you
want these recorded on the birth
or in a civil
partnership with the
natural mother /
father* at the time of
Parents who are married to each other or
in a civil partnership do not need to attend
the appointment together.
A civil partnership is a legal relationship
that gives similar rights to married couples.
You will be asked by the registrar to
provide the date you formed your civil
partnership or date of marriage.
If ‘No’ go to Question 6
If ‘Yes’, please indicate:
Married or Civil partners
Now go to Question 7
question ONLY if the
parents are NOT
married to each
other nor in a civil
Otherwise go to
If the parents are not married to each
other or in a civil partnership, please state
if both parents’ details are to be recorded
on the birth entry.
Both parents must attend for this to
By adding the father or 2
female parent to
a birth entry means they will acquire joint
parental responsibility with the mother.
Yes – both parents details
to be recorded
No – only the mother’s
details to be recorded