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Baptism/Membership Application

About You
Name *
Name
Address *
Address
Home Phone
Home Phone
Work/Cell
Work/Cell
Birthday *
Birthday
Your Faith Journey
Your request *
Please check the box(es) that describe your request:
Name of Child 1 (if Applicable)
Name of Child 1 (if Applicable)
Birthday
Birthday
Child 2 (if Applicable)
Child 2 (if Applicable)
Birthday
Birthday
Child 3 (if Applicable)
Child 3 (if Applicable)
Birthday
Birthday
Your past Christian Community (if applicable)
(if applicable)
Why are you seeking Baptism/Membership at St. George's at this time?
(100-200 words)
(100-200 words)
(100-250 words)
The Membership Covenant *