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Peace Evangelical Lutheran Church of South Haven
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First Name
Last Name
Preferred Name
Address
Home Phone Number
Cell Phone Number
E-mail Address
Birthdate
Birthplace
Parent(s) Names (if minor)
Are you baptized?
Yes
No
Baptismal Date
January
February
March
April
May
June
July
August
September
October
November
December
Place of baptism
Yes
No
Are you confirmed?
Yes
No
Confirmation date
January
February
March
April
May
June
July
August
September
October
November
December
Place of confirmation
Relationship
Single
Married
Widow(er)
Partner's name
Yes
No
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