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Baptism Information Sheet

CHILD'S INFORMATION

Child's Full Name:

Date of Birth:

Gender: *

Place of Birth: City: *

State:

Desired Date of Baptism

Desired Worship Service?

PARENT'S INFORMATION

Parent's Name: *

Congregation Member? *

• Yes
• No

Parent's Name:

Congregation Member?

• Yes
• No

Address:

Telephone: *

Email: *

SPONSOR'S INFORMATION: (Please indicate if member)

Sponsor's Name: *

Member? *

• Yes
• No

Address:

Telephone: *

Email: *

Sponsor's Name:

Member?

• Yes
• No

Address:

Telephone:

Email:

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