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GTR Parent/Child Dedication May 2021 on Sunday, May 23, 2021 @ 9:00 AM

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*Which campus do you attend?:
*Which service will you be attending?:
*Parent completing this registration - First and Last Name:
2nd Parent - First and Last Name:
*Do you plan to attend the Dedication class? (A Liberty Kids staff member will reach out to you with details.):
*Will you need childcare to attend an in-person Dedication class?:
*1st Child Being Dedicated - Full Name:
*1st Child's Date of Birth:
*1st Child's Gender:
2nd Child Being Dedicated - Full Name:
2nd Child's Date of Birth:
2nd Child's Gender:
3rd Child Being Dedicated - Full Name:
3rd Child's Date of Birth:
3rd Child's Gender:
Any other information or questions: