Child Dedication
* First Name
* Last Name
* Email
* Mobile Phone
* Address
* City
* Zip Code
* Is it ok for Pastor to hold your child?
* First Choice of Service Time
Select one
Saturday Evening -5:30 PM [4 left]
Sunday, 9:00 am [4 left]
Sunday, 10:45 am [3 left]
* Additional Parent's/Guardian's Names
* Child's First Name
* Child's Middle Name
* Child's Last Name
* Birthdate
* Gender
Select one
Male
Female
Child 2 First Name
Child 2 Middle Name
Child 2 Last Name
Child 2 Birthdate
Child 3 First Name
Child 3 Middle Name
Child 3 Last Name
Child 3 Birthdate
Add Another Person
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