ICONIC BABY DEDICATION SIGN UP
Parent(s) / Gaurdian(s) Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
By giving my contact information, I give ICON Church permission to contact me via text, email. text. (No more 4x/month)
Child's First Name
*
Child's Middle Name
*
Child's Last Name
*
Please type the phonetic spelling of your child's full name.
*
Please type out how to pronounce your child's name. For example, Christi would be (kris tee).
Child's Age
*
Child's Gender
*
Female
Male
Please upload at least one picture of your child.
*
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