Child Dedication Signup Child Dedication - November 11th, 2018 Mother's Name* First Last Father's Name* First Last 1 - Child's Name (First, Middle, Last)* 1 - Child's Date of Birth* MM slash DD slash YYYY 2 - Child's Name (First, Middle, Last) 2 - Child's Date of Birth MM slash DD slash YYYY 3 - Child's Name (First, Middle, Last) 3 - Child's Date of Birth MM slash DD slash YYYY 4 - Child's Name (First, Middle, Last) 4 - Child's Date of Birth MM slash DD slash YYYY Phone*Email*
