Child Dedication
Are you interested in dedicating your child in our service? Fill this form out with your information and we'll be in touch.
Name of Parent or Guardian
*
First Name
Last Name
Name of Your Spouse (if applicable)
First Name
Last Name
Parent's E-mail
*
Phone Number
*
How many children will you dedicate?
1
2
3
Name of Child
*
First Name
Last Name
Date of Birth for Child
*
-
Month
-
Day
Year
Date
Name of Second Child
*
First Name
Last Name
Date of Birth for Second Child
*
-
Month
-
Day
Year
Date
Name of Third Child
*
First Name
Last Name
Date of Birth for Third Child
*
-
Month
-
Day
Year
Date
Do you have any questions about child dedication you would like answered?
Items we need from you
We share a photo and life verse on the screen during child dedication. Please upload and share a photo of your child(ren) with us, as well as a verse that you want to use. If you have questions about choosing a life verse, let us know and we'll follow up with you.
Upload photo(s)
Browse Files
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What life verse would you like to share for your child(ren)?
Please include the reference along with the verse.
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