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Baptism Information
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* Indicates required question
Person being Baptized (Full Name):
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Place of Birth:
*
Your answer
Date of Baptism: (No 1st Sundays of the month)
*
MM
/
DD
/
YYYY
Parent 1 Full Name (Include Maiden Name in Parentheses)
*
Your answer
Parent 2 Full Name (Include Maiden Name in Parentheses)
*
Your answer
Address
*
Your answer
E-Mail Address
*
Your answer
Membership:
*
Member Yes
Member No
Required
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