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Baptism Request
Baptism Request
Candidate's First Name
*
Candidate's Middle Name
Candidate's Last Name
*
Date of Birth
*
Are you a member of God Inspired Worship Center?
*
Yes
No
Date of Salvation
Email
*
Father's First Name
(Complete if candidate is under the age of 18.)
Father's Last Name
(Complete if candidate is under the age of 18.)
Mother's First Name
(Complete if candidate is under the age of 18.)
Mother's Last Name
(Complete if candidate is under the age of 18.)
Human Verification
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