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Child Dedication Registration
Name of Child's Parent or Guardian
*
First Name
*
Last Name
*
Name of Child's Second Parent or Guardian (if applicable)
First Name
Last Name
Parent/Guardian's Phone
*
Parent/Guardian's Email
*
Child's Name
*
First Name
*
Middle Name
*
Last Name
*
Child's Age
*
Child's Name (if dedicating two children)
First Name
Middle Name (optional)
Last Name
Child's Age
Child's Name (if dedicating three children)
First Name
Middle Name (optional)
Last Name
Child's Age
Which service would you like to dedicate your child?
*
9:30 AM
11:00 AM
Please provide a date you'd like to dedicate your child.
*
Dedications are done on Sundays during service.
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