graceepiscopalwpb.org

Confirmation Application

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Our History

Date of Application: *
Full Name: *
Gender: *
Address: *
Date of Birth: *
Age: *
Place of Birth: *
Telephone: *
Mobile Phone:
Father's Full Name: *
Mother's Full Name: *
Parent's Residence: *
Religious Affiliation of Parents: *
Date of Baptism:
Name of Church & Place of Baptism: *
Denomination: *