Child Dedication Registration
Please fill out this form and click submit. One of our staff or volunteers will contact you soon!
Please provide the following information for us to provide a certificate and a screen graphic for the dedication service.
Name
*
Email
*
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?
*
Please select one option.
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.
Submit
Description
Please fill out this form and click submit. One of our staff or volunteers will contact you soon!
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