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