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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