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Home
Kids
Youth
Prayer
Give
More
Child Dedication Form
Mother's Name
First Name
Last Name
Father's Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Child's Name
*
First Name
Last Name
DOB
*
Age (0-10yrs)
*
Gender
Male
Female
Grandparents and other relatives attending
Have you read the "Child Dedication Brochure?"
*
Yes
No
Today's Date
*
Thank you!
