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POLL
I am registering for next Baby Dedication which will be held during the 10a.m worship service.
Infants and Toddlers under 24 months may participate. If you would like your child dedicated, please complete this form. The church will contact you with the most current schedule.
To send us a message, enter your name and email address.
Child's Full Name:*
Father's Name:*
Mother's Name:*
Email:*
City:*
State:*
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Texas(TX)
Utah(UT)
Virginia(VA)
Vermont(VT)
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Wisconsin(WI)
West Virginia(WV)
Wyoming(WY)
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American Samoa(AS)
Guam(GU)
Marshall Islands(MH)
Palau(PW)
Puerto Rico(PR)
Virgin Islands(VI)
Zip:*
Home Phone:*
Work Phone:*
Ext.
Other Phone:
Ext.
Who will stand with you (Grand Parent, God Parent) Please list below
Name:*
Relationship:*
Name:*
Relationship:*
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CARE-A-SOUL CARNIVAL
10/2/2010
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10/2/2010
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