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ADDICTION RECOVERY
2024-04-20T00:00:00-04:00
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Baby Dedication
May 9, 2021 @ 10:00 am
-
12:00 pm
Contact Information
Name of Person Completing Registration
*
First
Last
Email
Phone
*
Date of Dedication
*
February 14, 2021
May 9, 2021
September 5, 2021
November 28, 2021
Please select the date that you wish to have your child/children dedicated.
Are you an active member of FAC
*
Yes
No
Please enter the name of the child/children to be dedicated.
First Child
*
First
Middle
Last
Second Child
First
Middle
Last
Third Child
First
Middle
Last
Name of Parent
*
First
Last
Signature
*
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