IFC CHILD DEDICATION 
Please provide as much info as you can.  
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Email *
Child’s Name *
As you would like it to appear on their certificate. If you have more than one child, please separate names with a comma. 
Child’s Date of Birth *
Mother’s Full Name
Will mom be attending?
Yes
No
Select One:
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Father’s Full Name
Will dad be attending?
Yes
No
Select One:
Clear selection
Will any other family members or friends be attending? If yes, please indicate how many. 
A copy of your responses will be emailed to the address you provided.
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