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We are so excited that you want to get baptized! Please fill out all the information on this form.
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Who are you registering?
*
Myself
My child
Other
All those being baptized are asked to wear a (church provided) T-Shirt. Please provide your shirt size.
Select one:
*
XS
Small
Medium
Large
X-Large
2X
3X
4X
List those being baptized:
List all those being baptized below:
First Name
Last Name
Age
T-Shirt Size
#1
First Name
Last Name
Age
T-Shirt Size
#2
First Name
Last Name
Age
T-Shirt Size
#3
First Name
Last Name
Age
T-Shirt Size
#4
First Name
Last Name
Age
T-Shirt Size
#5
First Name
Last Name
Age
T-Shirt Size
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