Baptism Registration
Child's First Name *
Your answer
Child's Middle Name *
Your answer
Child's Last Name *
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Birthdate *
MM
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DD
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YYYY
Place of Birth *
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Sex of Child *
Your answer
Preferred Baptismal Date
MM
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DD
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YYYY
Preferred Service Time: 8:00 or 10:45 (Summer Worship Time: 8:30 or 10:00)
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Home Address *
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City *
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State *
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Zipcode *
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Email Address *
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Email Address
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Phone Number *
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Mother's First Name *
Your answer
Mother's Middle Name *
Your answer
Mother's Last Name *
Your answer
Mother's Maiden Name *
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Father's First Name *
Your answer
Father's Middle Name *
Your answer
Father's Last Name *
Your answer
Name of Sponsors *
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Name of Sponsors
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