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Parent/Child Dedication
Sunday, February 21
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Email
*
Your email
Child's Information
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Parent's Information
Parent's name(s), as you would like for it to read on the certificate
*
Your answer
Address
Your answer
City
Your answer
State
Your answer
Home Phone
Your answer
Cell Phone
Your answer
How long have you attended Faith Baptist Church?
Your answer
Which service will you attend on February 21?
9am
10:30am
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