Child Dedication Registration

Please provide the following information for us to provide a certificate and a screen graphic for the dedication service. We currently do not have a baby dedication Service Scheduled but will contact you with the next dedication service date!

Name

This address will receive a confirmation email

Phone

Parents/guardians name as you would like it to appear on screen graphic and certificate

Which experience would you like your child dedicated in?

9 am 11 am

Child 1 Picture

Upload (8MB)

Name of Child and Date of Birth

2nd Child Picture

Upload (8MB)

Name of 2nd Child and Date of Birth

3rd Child picture

Upload (8MB)

Name of 3rd Child and Date of Birth

4th Child Picture

Upload (8MB)

Name of 4th Child and Date of Birth

Please list any questions you may have here. Also, If you have more than 4 children list them here and a staff member will contact you soon.

Description

Please fill out this form and click submit. One of our staff or volunteers will contact you soon!

Child Dedication Registration

Description

Please Fix the Following