Father's First & Last Name:
Mother's First & Last Name:
Child's First, Middle & Last Name:
Child's Name to be Printed on Bible:
(19 characters maximum)
Date of Birth:
Gender:
Phone Number:
Address:
City:
State:
Zip:
E-mail:
(We will use to communicate confirmations and updates.)
Baby Dedication Dates:
November 16, 2008 (5:00 PM) This date is NOT confirmed until you've attended an orientation. We will hold it for you until after the last orientation before the celebration.
Orientation Dates:
September 24, 2008 (7:00 PM) October 8, 2008 (7:00 PM) November 5, 2008 (7:00 PM)
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6901 East State Hwy. 191 | P.O. Box 14710 | Odessa, Texas 79768 | 432.368.2500 | info@crossroadsodessa.com © CrossRoads Fellowship. All Rights Reserved.
