Are you ready to dedicate your family?
The next dedication is First Wednesday, February 7th. You MUST watch the video in full before submitting this form.
Your Name
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First Name
Last Name
E-mail
*
Best Contact Number
*
-
Area Code
Phone Number
Marital Status
*
Please Select
Married
Single
Separated/Divorced
Unmarried/Living Together
Spouses Name
First Name
Last Name
When will you be dedicating your family? Please select one of the options below.
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First Wednesday, February 7th
Can't make this one but please let us know about the next one
Child's Name as you would like it to appear on the dedication certificate. Please provide FULL name. If more than one child, please use additional spaces.
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First Name
Middle Name
Last Name
Suffix
Additional Child
First Name
Middle Name
Last Name
Suffix
Additional child
First Name
Middle Name
Last Name
Suffix
Additional child
First Name
Middle Name
Last Name
Suffix
Did you watch the full video? Enter the CODE word in the box.
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Yes, we want to dedicate our family!
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