Preparing a Demo

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Dedicate your Baby

1. Email *

2. Cellphone number: *

3. Father Name & Surname: *

4. Mother Name & Surname: *

5. Baby’s Name & Surname: *

6. Meaning of Baby’s First Name (NB!! Brief meaning limited to 5 words due to limited space on the certificate that will be printed. ) : *

7. Scripture (if any):

Date of Birth:

9. Birth City: *

10. Are you a member of CRC? *

Yes

No

11. Are you in a Homecell?

ــــــــ

12. Homecell Leader Name:

ــــــــ

13. I checked and confirmed that all information provided is correct:

Confirmed

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