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Child Dedication
Child Dedication Sign Up Form
We'd love to hear from you. Fill out the form below to get started.
Child’s Full Name
Birth Date
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Female
Relationship to Child
Mother’s Full Name
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Mother: Have you received Jesus as your Lord and Savior
Do you attend Impact Church at Liberty
Yes
No
Father’s First Name
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Father: Have you received Jesus as your Lord and Savior
Do you attend Impact Church at Liberty
Yes
No
Why do you personally want to have your child dedicated?
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