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CCASTA Baptismal
No nicknames or initials
* Indicates required question
Email
*
Record my email address with my response
Last name of child
*
Your answer
First name
*
Your answer
Middle name
*
Your answer
Residence
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Place of Birth (City and State)
*
Your answer
Sex
*
Male
Female
Required
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