Baptism Information
Today's Date
MM
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DD
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YYYY
Baptism for *
Your child/children's full name(s) or your full name for adult baptism
Your answer
Birthdate *
Your child's birthdate or your birthdate for adult baptism
MM
/
DD
/
YYYY
Date of Baptism
Please indicate the date you hope to schedule the baptism for
MM
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DD
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YYYY
Service Time
Please indicate the worship service time you prefer.
Father's Name *
Please provide the full name.
Your answer
Mother's Name *
Please provide the full name.
Your answer
Mailing Address *
Be sure to include Street Address, City, State and Zipcode
Your answer
Parents' Phone Contact *
Provide the phone number(s) you prefer
Your answer
Parent's Email Contact *
Provide the email you prefer
Your answer
Parent 1 Birthdate *
MM
/
DD
/
YYYY
Parent 2 Birthdate *
MM
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DD
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YYYY
Sponsor 1 Name
Your answer
Sponsor 1 Email
Your answer
Sponsor 2 Name
Your answer
Sponsor 2 Email
Your answer
Do you have a preference of which pastor performs the Sacrament?
Comments
Please indicate dates and times you are available to meet with Pastor Sara along with any other helpful information
Your answer
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