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Student Baptism
Student's Name
*
First
Last
*
Last
Gender
*
Male
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Grade
*
6
7
8
9
10
11
12
Student Cell Phone
Parent's Name
*
First
Last
*
Last
Parent's Email
*
Phone
*
Name of person baptizing you
*
First
Last
*
Last
Do your parents attend 2RC?
*
Yes
No
