Child Dedication Sign Up

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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.

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* Indicates required question

Email *

Your email

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

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