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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