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Baptism Information

Full Name of Baptism Candidate *

Gender *

Male

Female

Birthdate *

Place of Birth *

Baptism Request Date

Service Time

8:00 am

10:30 am

Other

Father Name *

Is the Father a member? *

Yes

No

Father's phone

Father's email

Mother Name *

Is the Mother a member? *

Yes

No

Mother's phone

Mother's email

Sponsor (1) Name

Sponsor (1) Home Church

Sponsor (2) Name

Sponsor (2) Home Church

Captcha *

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Signature

Reset Signature

Submit

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