Child Dedication

Parent/Guardian Information
Child Dedication dates are the same across all campuses. 2021 dates are February 28, July 18 and October 17.
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?
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

Address

Address Line 2

City State / Province

Postal / Zip Code
Child Information
First Name *
Middle Name *
Last Name *
Gender *
Please select
Birth Date *

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

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

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

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

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

Parent/Guardian Information