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Child Dedication Form
Child Dedication form and sign-up
Your name
*
Last name
Email address
*
Parent(s) Name
Phone number
Phone type
Mobile
Home
Work
Other
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Child's (Childrens) Full Given Name
Child's (Childrens) Date of Birth
Preferred service for Dedication
*
Select…
Sunday May 31st, 9:00 am
Sunday May 31st, 10:45 am
Sunday August 23rd, 9:00 am
Sunday August 23rd, 10:45 am
Other
Which class would you like to attend?
*
Select…
Sunday May 3rd, @9:00 am, Room 214
Sunday May 24th, @10:45 am, Room 214
Sunday August 9th, @9:00 am, Room 214
Sunday August 16th, @10:45 am, Room 214
I have already attended the Child Dedication class
Other
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