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The Grove's Baby Dedication Registration
Please fill out this form to reserve your date.  Family photos will be taken several weeks prior to your scheduled dedication service.  You will be contacted as to when your dedication is scheduled and also to arrange a photo time.  If you have questions, please contact Kathryn Hopewell, N4 Coordinator.  Kathryn.hopewell@grovelevel.com. or 706.224.2624
Email *
Please Choose your preferred dedication date. Note that we have 4 dedication families at a time.  If your date is not available, someone will contact you for your 2nd choice. *
Parents' Names:  *
Best Contact Number: *
Child's Full Name: *
Child's Birth Date: *
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Child's Adoption Date, if Applicable:
Family Life Scripture Verse for Your Child (Please include your preferred version - ESV, NIV, etc): *
Prayer Partner/s for your family: *
(If dedicating more than one child...)
#2 Child's Full Name:
#2 Child's Birth Date:
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#2 Child's Verse (if different)
#3 Child's Full Name:
#3 Child's Birth Date:
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#3 Child's Verse (if different)
A copy of your responses will be emailed to .
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