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Child Dedication
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Father's Name and Surname
*
Mother's Name and Surname
*
Contact Number
*
Email
*
Email
Confirm Email
How many children do you want to dedicate?
*
One Child
Two Children
Three Children
Child Name 1
*
Date of Birth 1
*
Place of Birth 1
*
Gender 1
*
Male
Female
Child Name 2
Date of Birth 2
Place of Birth 2
Gender 2
Male
Female
Child Name 3
Date of Birth 3
Place of Birth 3
Gender 3
Male
Female
Upload photo of your baby/babies/children here
Click or drag files to this area to upload.
You can upload up to 4 files.
Permission
*
I give hereby permission that a photo of the baby dedication can be posted on Social Media.
Submit
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