Contact

What can we help you with?

Your Name*

Name of person making request*

Name of Parent(s)*

Phone*

Your Email*

Effective date of change*

Old Contact Information (so we can look up your record)*

New Contact Information*

Name of child*

Date of birth*

Approximate date you would like to have the baptism*

Approximate date you would like to have the wedding*

Pastor you would prefer to work with*

Comment*

Prayer Request*

Would you like the name included in the printed bulletin?*

Would you like a pastor to contact you?*

Are you a member of SPD?*

Comments

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