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Student's Baptism Registration
1
Student's Name
*
This field is required.
First Name
Last Name
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2
Age
*
This field is required.
13 years old
14 years old
15 years old
16 years old
17 years old
18 years old
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3
Grade
*
This field is required.
Current grade during the school year or completed grade during the summer.
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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4
Parent's Name
*
This field is required.
First Name
Last Name
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5
Email
*
This field is required.
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6
Phone Number
*
This field is required.
Area Code
Phone Number
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7
Comments
Additional information
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