BabyDedication

Baby Dedication

Name:*

First

Last

E-mail:*

Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip Code

Mobile (1):

Area Code

Phone Number

Mobile(2)

Area Code

Phone Number

Child's Name*

First

Last

What is the meaning of your child's name? :

Date of Birth:*

Child's Gender:*

Boy

Girl

PARENTS INFORMATION

Child's Father's Name :*

First

Last

Child's Mother's Name :*

First

Last

Are there any information the pastor should be aware of? (e.g. Unmarried, divorced, separated, other children outside of marriage relationship, etc.):

Are you a registered member of AFWC?

Father:

Yes

Mother:

Yes

If NO, please write your church name:

Someone from the office will contact you regarding the date of the Baby Dedication.

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#50 Fairbanks Road, George Town Grand Cayman

+1345-9492539

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Baby Dedication

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