Email: revjeddah[at]gmail[dot]com
Cell Phone: (917) 319-9303

*Mother’s Name:
*Mother’s Phone:
*Mother’s Email:
Address:
Spiritual/Religious Affiliation (if any):
*Father’s Name:
*Father’s Phone:
*Father’s Email:
Date of Baby’s Blessing:
Time of Blessing:
Venue Name:
Venue Address:
Number of Attendees:
Child’s Name:
Sex:
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