Baptism Online Form

 

 Baptism Request

Baptism Request
Candidate First Name(*)
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Candidate Middle Name(*)
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Candidate Last Name(*)
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Gender(*)
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Birth Date(*)
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Baptism Date(*)
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Service(*)
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Birth Place(*)
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Father's Name(*)
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Is Father a member of COH?(*)
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Mother's Name(*)
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Maiden Name(*)
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Contact Address(*)
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Is Mother a member of COH?(*)
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Contact Phone(*)
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Contact Email
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Sponsor #1 Name
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Sponsor #2 Name
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Additional Information
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