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Child Dedication Interest Form
Please include the names and ages of each child to be dedicated on January 12, 2020 (typically 5 years old or younger). Once received, a staff member will contact you with more details.
Email address *
Name of parents or legal guardian *
Your answer
Phone number *
Your answer
Please provide the full name of child to be dedicated: *
Your answer
Gender of child *
Please provide child's date of birth. *
Your answer
Service preference *
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