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Baby Dedication Form





First Name:
  
Last Name:
   
Phone:
   
Email:
   
Date of Dedication:
      
Child's Name:
   
Gender of child:
   Male Female
 

Church Information:



Member of GCOAN?


   Yes       No


Parents members of GCOAN?

   Yes       No


Are you married?


  Yes       No


Are you married to each other?
  

Yes       No

Are you a Born Again Christian?

  Yes       No


God Parents:
 
 
Message:
   




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