Baby Dedication Registration
  1. Select Date(*)
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  2. Child's Full Name:(*)
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  3. Gender(*)
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  4. Child's Birth Date(*)

    Please select a date
  5. Father's Name
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  6. Mother's Name
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  7. E-mail(*)
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  8. Member Number:(*)
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  9. Street Address:
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  10. City
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  11. State
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  12. Zip
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  13. Home Phone(*)
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  14. Cell Phone:
    Number only please. No special characters like " - "
  15. Other Phone:
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  16. The dedication ceremony is for babies, ages 0-24 months only. Parent must be WOOMC member who has completed a WOOMC Membership application. All dedication services will start promptly at 10:40 am. Deadline to register must be submitted one week prior to the Dedication Service.
  17. Type the Letters as you see them
    Type the Letters as you see them
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