Children's Dedication Day
Please complete the short form below.
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
How Many will be in your party? (Please limit to 5 including the child(ren) as space is limited)
How Many Children Will Be Participating?
Children MUST be age 5 and under.
Please List FULL Name, Age, Date of Birth, and Place of Birth (Hospital Name, City, and State) for each child
For Example: Jamie Ryan Smith, Age 5, 03/24/2020, Lourdes in Camden, NJ
Will there be God Parents In Attendance? Please list names below. (Please limit to 2 as space is limited)
Should be Empty: