BABY DEDICATION FORM

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First Name (Baby)

Last Name (Baby)

Gender

Date of Birth

Parent(s) Name

Email

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Who to Officiate

Location of Baby Dedication

Date of Dedication

Time of Dedication

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Signature of Parent

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OOLTEWAH ADVENTIST CHURCH

9209 Amos Road, Ooltewah, TN 37363

Office: (423) 238-4619

Fax: (423) 238-4625

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