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BABY DEDICATION
This form must be completed in full and submitted in accordance with the Wedding Information Page on this site. Our Pastoral staff will review your request and contact you either by phone or email. Thank you!
BRIDE
Bride's Name
*
Is the Bride a Mending Hearts Member?
Choose...
Yes
No
Bride's Address
*
Address Line 2
City
*
State
*
Zip code
*
Bride's Home Number
Bride's Cell Number
*
Bride's Email
*
GROOM
Groom's Name
*
Is the Groom a Mending Hearts Member?
Choose...
Yes
No
Groom's Address
*
Address Line 2
City
*
State
*
Zip Code
*
Groom's Home Number
Groom's Cell Number
*
Groom's Email
*
INFORMATION
How long have you known each other?
Choose...
Less than 1 year
1-2 years
3-5 years
5 or more years
How long have you been engaged?
Choose...
less than 1 year
1-2 years
3-5 years
5 or more years
Preferred date for
Ceremony
:
mm/dd/yr
*
Preferred time for
Ceremony
:
hr:min AM/PM
*
2nd Choice
-date for
Ceremony
:
mm/dd/yr
2nd Choice
-time for
Ceremony
:
hr:min AM/PM
Preferred date for
Rehearsal
:
mm/dd/yr
*
Preferred time for
Rehearsal
:
hr:min AM/PM
*
2nd Choice
-date for
Rehearsal
:
mm/dd/yr
2nd Choice
-time for
Rehearsal
:
hr:min AM/PM
Do not enter anything in this field:
*
indicates a required field
Please fill this field.
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MHC On-Line
Mending Hearts Campus
MHC-EAST: 14818 S. Peebly Rd | Stella, OK 74857 | PH: 405.386.4351
MHC Mailing Address: P.O. Box 1071
| Choctaw, OK 73020
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