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Baptism - Orange Campus on Sunday, August 27, 2017 @ 9:00 AM

No Additional Charge
*Gender:
*Marital Status:
*Birth Date:
*Church You Attend (if applicable):
PARENT/LEGAL GUARDIAN INFORMATION:
Student is in:
Name of Parent/Legal Guardian:
Contact Phone Number:
BAPTISM INFORMATION:
*Service Time to be Baptized:
Would you like to share your testimony at service?:
*T-Shirt:
Are you being baptized with other family members?:
If yes, please list the names of those family members:
If unable to attend, call 714-777-7388:
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