Personal Information for Church Records
(this information will be archived and accessible for genealogical research for future generations
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Full Name of Person to be baptised *
Gender Identy *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
(at least city and state)
Current Address *
Mother's Full Name (maiden name in parenthesis)
Mother's Address
(at least city and state) (if same as candidate for baptism, enter "same")
Mother's Religious Affiliation
Father's Full Name
Father's Address
(at least city and state) (if same as candidate for baptism, enter "same"; if same as mother, enter "mother)
Father's Religious Affiliation
Clear selection
Family Email for follow-up *
Phone number
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