Reserve PA Baptismal Officiant Now JP Request form; Pun Nuptials PA Officiant Minister JP

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A.D. 2005 -

Baptism Request Form

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Mother's Name (please add Maiden name) *

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Father's Name *

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Last

Phone Number *

Address *

Email *

Name of Child being Baptized *

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Last

Name of Adult being Baptized {if applicable} *

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Last

Date and Time of Ceremony *

Location of Ceremony *

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Value Code *

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