• • Date of Baptism *
    
    
• • Service Time Requested *
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    10:30 a.m.
    
• • Child's First, Middle, and Last Name *
    
    
• • Date of Birth *
    
    
• • Father's Name *
    
    
• • Mother's Name (please include maiden name) *
    
    
• • Address
    
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    Country
• • Email *
    
    
• • Phone Number *
    
    
    
    
    
    
• • Sponsor Name
    
    
• • Sponsor Name
    
    

Authentication Text*
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