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Baby Dedication DVD Request

Instructions:

Complete this request at least 7 days prior to the planned date of the baby dedication.
A donation of $10.00 (cash or check made payable to Jacob's Well Bookstore) is required when the DVD is obtained at Jacob's Well Bookstore (located at 1434 Poplar Street, Augusta, GA 30901).
The DVD may be picked up from Jacob's Well Bookstore on the Friday after the baby dedication.

NOTE: All Baby Dedication video recordings are done on 4th Sundays at the 10:45 a.m. worship ONLY.

(*) Denotes required fields

Please check
Names of Baby's Parents