CHILD DEDICATION
Sunday, April 19, 2026 | Please fill out this form and click submit.
PARENT INFORMATION
Parent's full name who is dedicating the child
*
Email
*
This address will receive a confirmation email
Cell Phone
*
Parent's full name who is dedicating the child
Email
This address will receive a confirmation email
Cell Phone
Address
*
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CHILDREN BEING DEDICATED
Child's full name
*
Age
*
Birthdate
*
Child's full name
Age
Birthdate
Child's full name
Age
Birthdate
OTHER INFORMATION
Dedication Celebration attending
*
Please select all that apply.
9:00
10:45
Are there siblings you will have standing with you on stage?
*
Please select all that apply.
yes
no
Are you able to attend our Parent Gathering on Saturday, March 14th from 9-10AM?
*
Please select one option.
yes
no
Select Option
yes
no
How many children will need childcare for our Parent Gathering on Saturday, March 14th?
*
Other information you'd like us to know
Submit
Description
Sunday, April 19, 2026
Please fill out this form and click submit.
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