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Mt. Olive Pentecostal Church of Faith Inc. Baby Dedication Application
Please complete the Baby Dedication Application form below. Our Ministry Administrator will be in contact with you by the information provided below.
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* Indicates required question
Child's Full Name
*
Your answer
Child's Date of Birth
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MM
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DD
/
YYYY
Mother's Full Name
Your answer
Full Street Address
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Your answer
Phone Number
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Your answer
Religion
*
Your answer
Email Address (If none N/A)
*
Your answer
Father's Name
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Your answer
(Full address if different) If same N/A
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Your answer
Phone Number
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Your answer
Religion
*
Your answer
Email Address (If none N/A)
*
Your answer
Please Provide Name of God-mother(If none N/A)
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Your answer
Please Provide name of God mother (If none N/A)
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Your answer
Please Provide Name of God-father (If none N/A)
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Your answer
Please Provide Name of God-father (If none N/A)
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Your answer
Please indicate the Mt. Olive Church location that you will like your Baby Dedication to take place.
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Mt. Olive Brooklyn Location - 830 Utica Ave, Brooklyn NY 11203
Mt. Olive Queens Location - 111-52 Van Wyck Expressway, South Ozone NY 11420
Please type your Full Name to serve as your signature for your Baby Dedication Application
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Your answer
Date of this Baby Dedication Application
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MM
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DD
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YYYY
*All baby dedication is done on the fourth Sunday of each month. If you have a special request for any other Sunday, please indicate below.
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MM
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DD
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YYYY
If you were referred by a member of Mt. Olive, please indicated who referred you.
*
Your answer
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