Baptism Registration

First Name:

Last Name:

Age:

Address:

Home Phone:

Cell Phone:

E-mail:

Service for Baptism:

Can we read your personal story in the service? Yes, you have my permission.
No, please do not read my story.

Your Personal Story:



First Name:
Last Name:
Age:
Address:
Home Phone:
Cell Phone:
E-mail:
Service for Baptism:
Can we read your personal story in the service?	Yes, you have my permission. No, please do not read my story.
Your Personal Story: