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