Baptism Form

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Baptism Form

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* Indicates required question

Email *

Your email

Name *

Your answer

Home Address *

Your answer

Primary Phone *

Your answer

Date of Birth *

MM

/

DD

/

YYYY

Place of Birth *

Your answer

Father's Full Name *

Your answer

Mother's Full Name *

Your answer

Parents' Address (if different from above)

Your answer

Religious Affiliation of Parents *

Christianity

Islam

Judaism

Hinduism

Buddhism

Other:

Name of Witness/Godparent

Your answer

Address of Witness/Godparent

Your answer

Submit

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