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Which service date are you dedicating your child?
Please select one of the following dates:
Sunday | May 3, 2026
Sunday | November 15, 2026
What service will you attend
9:15am
11:00am
Are you the child's Parent?
Yes
No
Your Name
Childs Name
Age of child
Marital Status
Single
Married
Widowed
Separated
Divorced
Are both parents in agreement?
Yes
No
Comments
Email
Phone Number
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