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CHILD DEDICATION FORM
I would like to have my child/children dedicated.
Parents First Names
Family Last Name
Phone Number
Email
Child Name (First and Middle)
Child Last Name
Child Birth Weight
Child's Length at Birth
Birthdate (month, day, year)
What is the meaning of your child's first and middle name?
Please ensure to email a newborn picture of your child to OFFICE@VICTORYGP.COM with your child's name included in the email.
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