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Bethel Lutheran Church - Child New Member Registration
Please complete the form for each
child
joining Bethel.
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* Indicates required question
Child's First Name:
*
Your answer
Child's Middle Name:
*
Your answer
Child's Last Name:
*
Your answer
Father's Name:
*
Your answer
Mother's Name
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
City/State of Birth:
*
Your answer
Date of Baptism:
MM
/
DD
/
YYYY
Church of Baptism:
Your answer
City/State of Baptism:
Your answer
Date of Confirmation:
MM
/
DD
/
YYYY
Church of Confirmation:
Your answer
City/State of Church of Confirmation:
Your answer
School Attending:
Your answer
Grade in School:
Your answer
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