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Parent-Child Dedication Online Registration


Parent-Child Dedication

Online Registration for 2015


All fields required unless otherwise noted.
Child's Full Name:

Baby's Date of Birth:

Parent's Names:
Siblings:
Street Address:
City:
State:
ZIP:
Email:
Desired date of dedication 2014 :
May 11th (Mother's Day), Nov. 2nd or other date (please specify):
Name of Bible Fellowship Class you attend:
Are there relatives attending? Is there information regarding the baby, you as a couple, or family members that might be important for us to mention? (optional)
If there is significance why you chose your child's name, please let us know: (optional)
Is there anything special about this pregnancy or delivery that reveals God's goodness or faithfulness that you can share? (optional)
Click SUBMIT to send us your information. Clicking RESET will clear the form.

 


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