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Baptism Form
Please complete the form below for Baptism.
*
Required
Errors
First Name
*
Last Name
*
Phone Number
*
(
)
-
ext.
Email Address
*
This registration is for
*
Baptism
Baptism Date (note: Baptism is every 3rd Sunday of every month)
*
Name, Address & D.OB. of person to be baptized
First Name
*
Last Name
*
Address Line 1
*
Address Line 2
City
*
State
*
--
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MH
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VI
VT
VA
WA
WV
WI
WY
ZIP Code
*
Birth Date
*
Comment(s)
T-Shirt Form
*
Required
Errors
Date
*
First Name
*
Last Name
*
Address Line 1
*
Address Line 2
City
*
State
*
--
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FL
FM
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MH
MI
MN
MS
MO
MP
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VI
VT
VA
WA
WV
WI
WY
ZIP Code
*
Phone Number
*
(
)
-
ext.
Email Address
*
T-Shirt Price: $15.00 (Child - XL) Add $1.00 per X
Child Smaill
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Adult XXXXL
Payment
Credit Card Type
*
Visa
Master Card
American Express
Discover
Credit Card Number
*
Exp. Date
*
CVV Code (Back of Card)
*