Child Dedication Sign Up
This Form is intended for those individuals that are having their child dedicated at Kempsville Church. If you have any questions, please contact us at 757-474-0233 or kcogoffice@gmail.com.
Email address *
Full Name of Child (as it would appear on certificate) *
Your answer
Full Name of Father (as it would appear on certificate)
Your answer
Full Name of Mother (as it would appear on certificate)
Your answer
Comments
Your answer
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