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Baptism Certificate Request Form
Certificates will be ready for pick-up in 2-3 business days.
Donations are accepted
*Any certificates not picked up within a 2 week period will be shredded and are nonrefundable.*
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* Indicates required question
Full Name of the Person Baptized
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Required
Mother's Name
*
Your answer
Father's Name
*
Your answer
Date of Baptism
*
MM
/
DD
/
YYYY
Phone Number / E-mail
*
Your answer
Other
Your answer
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