REGISTRATION
OF BAPTISIM & CONFIRMATION
التسجيل للعماذ أو التثبيت
NAME OF PERSON BAPTIZED
PLACE AND DATE OF BIRTH.
DATE OF BAPTISM
FATHER’S NAME .
MOTHER’S NAME
GODPARENT’S FULL NAME
HOME ADDRESS
ADDRESS
APT. #
CITY
ZIP CODE
# OF PEOPLE IN HOUSE
HOME TEL
______________________________________________________________________________________
Cell Phone
FIRST NAME
LAST NAME
FATHER'S NAME
MOTHER'S NAME
AGE
CHOOSE ONE OR MORE CLASSES
HOME ADDRESS
APT. #
CITY
ZIP CODE
# OF PEOPLE IN HOUSE
Cell Phone
HOME TEL
______________________________________________________________________________________
Emergency Contact
LAST NAME
FIRST NAME
TEL
ADDRESS
FIRST NAME
LAST NAME
SPOUSE NAME
HOME ADDRESS
ADDRESS
APT. #
CITY
ZIP CODE
# OF PEOPLE IN HOUSE
HOME TEL
Cell Phone
Email Address
اذا وجد اكثر من عائلة واحدة تقيم في الدار- يجب ان تملأ كل عائلة استمارة مستقلة
Business name
TEL
Please, make sure info is correct, Especially your phone number so we can contact you
when we need to inform you of our upcoming events.
Thank you
