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Baptism Request Form
Questions? Contact us at
cathedraloftherockies.com/contact
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Your name
*
Last name
Email address
*
Phone number
Phone type
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Home
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Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Campus
Downtown
Amity
Date of Baptism
*
Service Time
*
Pastor
*
Full name of person(s) to be baptized
*
Birthdate
*
MM/DD/YYYY
Birthplace
*
Parentsā Full Names (including Maiden and current last name where applicable):
Godparents (if applicable)
Grandparents
Siblings
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A copy of your responses will be sent to your email address.
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