Child Dedication Registration
Please fill out this form and click submit.
Please select which service you'd like your child to be dedicated:
*
Please select one option.
9AM Sunday Service
11AM Sunday Service
Child's Name
*
Child's Age
*
Child's Birthdate
*
Father's Information
Father's Name (First & Last)
Email
Phone
Mother's Information
Mother's Name (First & Last)
Email
*
This address will receive a confirmation email
Phone
*
Please list siblings names and ages (if any):
Submit
Description
Please fill out this form and click submit.
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Please Fix the Following
