Form

The 2018 Child Dedication Sundays will be May 20th and September 23.

There is a required Child Dedication Class on Sunday, May, 6, at 11:15 am if your child is being dedicated on May 20th. Childcare will be available if needed.

Fathers First and Last Name:

Mother's First and Last Name

E-mail: *

Phone: *

Address: *

State: *

Zip code: *

Child's Full Name *

Child's Name *

First Name Middle Name Last Name

Child's Birthdate *

- Month - Day Year

Name of Prayer Partner(s) *

First Name Last Name

Prayer Partner Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Add Child

I'd like to have another child dedicated

Child's Full Name

Child's Name

First Name Middle Name Last Name

Child's Birthdate

- Month - Day Year

Name of Prayer Partner(s)

First Name Last Name

Prayer Partner Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Add Child

I'd like to have another child dedicated

Child's Name

First Name Middle Name Last Name

Child's Birthdate

- Month - Day Year

Name of Prayer Partner(s)

First Name Last Name

Prayer Partner Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Add Child

I'd like to have another child dedicated

Child's Name

First Name Middle Name Last Name

Child's Birthdate

- Month - Day Year

Name of Prayer Partner(s)

First Name Last Name

Prayer Partner Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Add Child

I'd like to have another child dedicated

Child's Name

First Name Middle Name Last Name

Child's Birthdate

- Month - Day Year

Name of Prayer Partner(s)

First Name Last Name

Prayer Partner Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Add Child

I'd like to have another child dedicated

Child's Name

First Name Middle Name Last Name

Child's Birthdate

- Month - Day Year

Name of Prayer Partner(s)

First Name Last Name

Prayer Partner Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Child Dedication Registration