Baptism Information Form
  2. Desired Date of Baptism(*)
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  3. Check one that applies(*)
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  4. Which Service Time(*)



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  6. First Name(*)
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  7. Middle Name(*)
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  8. Last Name(*)
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  9. Date of Birth(*)
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  10. Place of Birth(*)
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  11. Street Address(*)
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  12. City(*)
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  13. State(*)
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  14. Zip Code(*)
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  16.  
  2. If you checked Child or Youth for Baptism, please fill out this page
  4. Mothers Full Name
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  5. Mothers Work Phone
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  6. Mothers Cell Phone
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  7. Mothers Email
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  8. Baptized
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  9. Member of Good Shepherd
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  10. If not a member of Good Shepherd:
  11. Church Affiliation
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  13. Fathers Full Name
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  14. Fathers Work Phone
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  15. Fathers Cell Phone
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  16. Fathers Email
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  17. Baptized
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  18. Member of Good Shepherd
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  19. If not a member of Good Shepherd:
  20. Church Affiliation
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  22.  
  2. Sibling Names including age
    (If there are more than 4 siblings, please input their names in the helpful information box)
  4. Sibling 1 Full Name
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  5. Sibling 1 Age
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  6. Sibling 2 Full Name
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  7. Sibling 2 Age
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  8. Sibling 3 Full Name
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  9. Sibling 3 Age
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  10. Sibling 4 Full Name
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  11. Sibling 4 Age
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  13.  
  2. Sponsors / Godparents
    (You may have as many Sponsors / Godparents as you desire. Please input their names and ages in the helpful information box.)
  4. Full Name
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  5. City
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  6. State
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  7. Baptized
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  8. Church Affiliation
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  10. Full Name
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  11. City
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  12. State
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  13. Baptized
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  14. Church Affiliation
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  16. Helpful Information
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  18. Invalid Input
  20.