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Baptism Form

Your name *

Last name

Email address *

Phone number

Phone type

Address

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

For a child baptism: Second Parent/Guardian's name and contact info (if not same)

Name of person to be Baptized

Date of birth for person being Baptized

Place of Birth for person being Baptized (City and State)

Date Requested for Baptism

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First Church Sandwich, UCC
office@firstchurchsandwich.org
508-888-0434

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