Child Dedication

Parent/Guardian Information
Child Dedication dates are the same across all campuses. 2020 dates are March 7/8, July 25/26 and November 7/8.
Mother's Name
Father's Name
Which campus do you regularly attend? *

Cedar Falls Fort Dodge Grinnell Independence New Hampton Osage
Which service would you like to dedicate your child at?
Cedar Falls
Which service would you like to dedicate your child at?
Fort Dodge
Which service would you like to dedicate your child at?
Grinnell
Which service would you like to dedicate your child at?
Independence
Which service would you like to dedicate your child at?
New Hampton
Which service would you like to dedicate your child at?
Osage
Contact Information
E-mail *
Phone Number

Area Code Phone Number

Address

Child Information
Full Name *
First Middle Last
Gender *
Please select
Birth Date *

Month Day Year
Date Picker Icon
If you wish to register another child, please click the "Add another child" link on the bottom.

Child Information
Full Name *
First Middle Last
Gender *
Please select
Birth Date *

Month Day Year
Date Picker Icon
If you wish to register another child, please click the "Add another child" link on the bottom.

Child Information
Full Name *
First Middle Last
Gender *
Please select
Birth Date *

Month Day Year
Date Picker Icon
If you wish to register another child, please click the "Add another child" link on the bottom.

Parent/Guardian Information