FAC Baby Dedication Registration
Fill out the form below to register your child/children.
Date of Dedication
*
February 14, 2021
May 9, 2021
August 8, 2021
September 5, 2021
November 28, 2021
Person Registering
*
Child’s Full Name
*
First Name
Middle Name
Last Name
Child’s Full Name
First Name
Middle Name
Last Name
Child’s Full Name
First Name
Middle Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Are you an active member of FAC?
*
Yes
No
Name of Parent
*
First Name
Last Name
Signature of Parent
*
Register
Should be Empty: