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Child & Family Dedication
Child 1 Information
First Name
Last Name
Sex
Male
Female
Date of Birth (MM/DD/YYYY)
Child 2 Information
First Name
Last Name
Sex
Male
Female
Date of Birth (MM/DD/YYYY)
Child 3 Information
First Name
Last Name
Sex
Male
Female
Date of Birth (MM/DD/YYYY)
Father's Information
First Name
Last Name
Email Address
Physical Address
Phone Number
Marital Status
Single
Married
Divorced
Separated
Divorced & Remarried
Mother's Information
First Name
Last Name
Email Address
Physical Address
Phone Number
Marital Status
Single
Married
Divorced
Separated
Divorced & Remarried
Grandparents & Guardians Information
Name of Grandparents
Name of Guardians (Godparents)
Other Information
How may persons do you anticipate will come to church for the Dedication; including guardians, family and friends?
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