Child Dedication Form
Please complete the form below and select 1 (one) date that is available for your child dedication
Child's Information
Child's First Name
*
Child's Middle Name
Child's Last Name
*
Tip: Childs Last Name
Gender
*
Male
Female
Parents Information:
Mother's First Name
*
Mother's Last Name
*
Email Address
*
Mobile Number
*
Father's First Name
Father's Last Name
Email Address
Mobile Number
Do you plan to have God Parents?
God Parents
*
Yes I do
No I don't
God Mother's First Name
*
God Mother's Last Name
*
God Father's First Name
*
God Father's Last Name
*
Do you have more God Parents?
*
Yes
No
Please add their FULL names below:
*
Please Select your preferred day below:
My Preferred Dedication Sunday is:
*
Sunday November 30th
Do you have any other information that you would like us to know?
Submit
