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We're so excited you want to dedicate you child here at Refuge! Please take a moment to read our PDF by clicking the button, and then fill out the form below. Someone will be in contact with you soon!


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Baby's Name: *
Baby's Name:
Baby's Birthdate: *
Baby's Birthdate:
Phone Number: *
Phone Number:
Dedication Date Requested: *
Dedication Date Requested:
Service Time Requested: *
Check All That Apply *