Baptismal Information
Today's Date *
MM
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DD
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YYYY
Baptism Date Requested - 1st Choice (Ideal) *
MM
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DD
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YYYY
Baptism Date Requested - 2nd Choice (Backup) *
MM
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DD
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YYYY
Preferred Service(s) *
Required
Full Name of Child Being Baptized (First, Middle, Last) *
Your answer
FIRST Name of Child (for ceremony) *
Your answer
Child's Date of Birth *
MM
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DD
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YYYY
Father's Name *
Your answer
Mother's Name *
Your answer
Parent's Address *
Your answer
Parent's Contact # *
Your answer
Parent's Email Address *
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Sponsor Name *
Your answer
Add'l Sponsor Name (optional) *
Your answer
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