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If you would like to have your baby dedicated at Kingdom Church, please complete the Baby Dedication Requisition form below, or contact the administrative office directly at 609-434-0007.

BABY'S INFORMATION:
Baby's Name
Baby's Age:
Birth Date:
PARENT'S INFORMATION
Parent(s) Name:
Address:
Email:
Phone: Day
Phone: Evening
Marital Status  
Member of Kingdom:





Location (Ewing/Burlington):


Date of Dedication:
   
 
 
   
     
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