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Child Dedication
Child Dedication
Child's First Name
*
Child's Middle Name
Child's Last Name
*
Child's Date of Birth
*
Is requestor a member of God Inspired Worship Center?
*
Yes
No
Father's First Name
Father's Last Name
Mother's First Name
Mother's Last Name
Name of Godparent (1)
Name of Godparent (2)
Requestor's Email
*
Phone Number
*
Human Verification
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