Love, Joy, Peace...
Wesley AME Church - Houston
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Name
(
Required
)
Email Address
(
Required
)
I want to... (
Required
)
Get baptized
Get minors/a minor baptized
Legal First Name of Baptismal Candidate (
Required
)
...as it should appear on the baptismal certificate. One candidate per form.
Legal Middle Name of Candidate
Legal Last Name of Candidate (
Required
)
Candidate's Date of Birth (
Required
)
Contact Information
(Information regarding candidate's baptism will be sent to this contact information.)
Phone Number (
Required
)
Email (
Required
)
Mailing Address (Address, apartment, city, state, Zip code) (
Required
)
|
Candidate's Marital Status (
Required
)
Single
Married
Divorced
Separated
Widow/widower
N/A (Choose only if Candidate is a minor)
Candidate's Parental Information
Must be completed for baptismal candidates who are minors.
Mother's First Name
Mother's Last Name
Mother's Middle Name
Father's First Name
Father's Middle Name
Father's Last Name
Godparent Information (if applicable)
Female Godparent's Full Name
Male Godparent's Full Name
Solve 3 + 6 = ?
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