CCDT Child Dedication Sign up
March 3, 2019
Child's Name (First & Last) *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Phone Number *
Your answer
Name of Parent(s)/Guardian(s) standing with child while being dedicated. *
Your answer
What is your preferred method of contact? *
What service would you like your child to be dedicated? *
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