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GCT COGIC Baptismal Registration (4/30/17)
Please complete the following information and return to the office to receive your Certificate of Baptism.
Email address
Which age group applies to you (the baptismal candidate)?
All candidates under age 12 will be screened.
Please enter your first name.
Your answer
Please enter your last name.
Your answer
Please enter your name as you would like for it to appear on your baptismal certificate.
Your answer
Are you registering for the Mass Baptism on April 30, 2017?
Please enter your date of birth.
MM
/
DD
/
YYYY
Please enter your address
Example: 123 East Main St.
Your answer
City
Example: Memphis
Your answer
State
Example: TN
Your answer
Zip Code
Example: 38101
Your answer
If the baptismal candidate is a minor, please enter the full name of the guardian.
Your answer
Primary Contact Phone Number
Example: (###) ###-####
Your answer
If a minor, is the address listed above the same for the legal guardian?
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