Jackson Heights SDA Church
Our Mission is to Build Loving Relationships Through Growth in Christ, Fellowship, & Outreach
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Baby Dedication
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Baby Dedication Request
Today's Date
Name (person making request)
Phone
Email
Requested Date of Dedication
Baby's Name (as it should appear on the certificate)
Baby's Date of Birth
Baby's Place of Birth
Mother's Name
Phone
Email
Father's Name
Phone
Email
Home Address
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Cook Islands
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Iraq
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Korea, Republic of
Kuwait
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Panama
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Virgin Islands, U.S.
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