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Name of Person to be Baptized Date of Birth City and State of Birth Name Used for Mailings Mailing Address City State Zip Code Home Phone e-mail address Employer Business Phone e-mail address Father Legal Name Mother s Maiden Name Date requested for Baptism Trinity would like to include pictures of you with your family on the welcome video screens. REQUEST FOR ADULT BAPTISM AT TRINITY LUTHERAN CHURCH Please complete this form and bring it with you to the first appointment with the Pastor....
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