Baptism Registration
Child OR Adult Baptismal Information:
Registering for: *
Full Legal Name Of Person Being Baptized *
Your answer
Baptismal (Christian Name) *
Your answer
Gender *
Your answer
Place of Birth (City, State)
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Scheduled Baptism Date *
MM
/
DD
/
YYYY
Time *
Time
:
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