Baptism Form
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Parents Name(s) *
Address
Phone
Email
Preferred method of contact:
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Child’s Full Name including Last Name *
Child's Birthdate
MM
/
DD
/
YYYY
City, State Child was born
Preferred Date of Baptism: (Please provide several dates available)
How long have you been a member of of our church?
Please list other relatives that are members of our church
Other Children’s Names and Dates of Birth:
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