Child Dedication Form

Mother's Name
First Last
Father's Name
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Service you wish to have your child dedicated:*
- Celebrate Recovery (6:15PM)
- Sunday Morning (9:00AM)
- Sunday Morning (10:45AM)
Pastor you wish to have dedicate your child
Child/Children To Be Dedicated
Child 1*
First Middle Last
Date Of Birth*
MM slash DD slash YYYY
File
Max. file size: 300 MB.
Please include your favorite photo of your child for us to share on Sunday morning
Child 2
First Middle Last
Date Of Birth
MM slash DD slash YYYY
File
Max. file size: 300 MB.
Please include your favorite photo of your child for us to share on Sunday morning
Child 3
First Middle Last
Date Of Birth
MM slash DD slash YYYY
File
Max. file size: 300 MB.
Please include your favorite photo of your child for us to share on Sunday morning
Child 4
First Middle Last
Date Of Birth
MM slash DD slash YYYY
File
Max. file size: 300 MB.
Please include your favorite photo of your child for us to share on Sunday morning

Child/Children To Be Dedicated