BETEN YATSAR CLUB
[Child Blessing Form]
* Name Mrs. 
   Photo
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* Husband Name Mr.   
* Date of Birth
* Age Years
* Wedding Date
* Occupation
* Address
* State
* Postal Code
* Country
* Res. Phone Number
* Mobile Number
* Email ID
    Do you wish to give Offering?
* Prayer Request for Complicated Pregnancies