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Baptism Information Form

Conference with the pastor is required prior to the baptism. Please return completed form at least two weeks prior to the date requested for baptism. 


Candidate Information

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Date Requested for Baptism:
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/
DD
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YYYY
Full Name: *
Birthdate: *
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DD
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YYYY
City and State of birth:
Sponsor name(s) (optional)
Sibling name(s) and ages:
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