Baptism Information
Name of Child: __________________________________________________________________________
Gender (circle): Male Female
Date of Birth: _____________________________
Place of Birth: ____________________________________________________________________________
Mother: __________________________________________________________________________________
Father: ___________________________________________________________________________________
Address: _________________________________________________________________________________
Phone: _____________________________Email Address_______________________________________
Siblings: __________________________________________________________________________________
Sponsors’ Names & Relationship: ________________________________________________________
___________________________________________________________________________________________
Family Connection to Christiania: ________________________________________________________
Other: ____________________________________________________________________________________
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