Kidspoint Water Baptism

Kidspoint Water Baptism

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Campus *

Fredericksburg Spotsylvania Stafford Culpeper
Name of Parent/Guardian *

First Name Last Name
Relationship to Child

Mother Father Legal Guardian Other option
Child's Name *

First Name Last Name
Child's Birthdate *

- Month - Day Year
Phone Number *

- Area Code Phone Number
Email *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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