Christian Registry
Enter your full name as you would like it to appear in registry _____
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What state do you live in _____
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To verify your entry in the future enter your birthdate as mmdd _____
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For sorting purposes enter all the following as one string with no spaces sclastnamefirstnamecounty where sc would be your state code in lower case _____
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OPTIONAL Enter your denomination (Will not be printed)
| 0% (0) | Catholic | |
|---|---|---|
| 0% (0) | Protestant | |
| 0% (0) | Orthodox | |
| 100% (1) | Other |
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OPTIONAL (Will not be printed) Enter the date of your baptism mmddyyyy _____
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