Child Dedication Gilroy

1
Participating Parent's Information* This field is required.
First Parent's Full Name
Second Parent's Full Name
Mailing Street Address including city and zip code
Email
Phone
2
Child's Information* This field is required.
Child's Full Name (First, Middle, Last)
Female
Male
Gender
Newborn (ages 0–5 weeks)
Infant (ages 5 weeks – 1 year)
Toddler (ages 1–3 years)
Preschooler (ages 3–5 years)
Age
DOB (ex: 11/11/2011)
3
Dedication Class (May 7th @ 6:00PM | Room 203)* This field is required.Please provide the number of adults who will be attending.
1
2
Not Able To Attend
4
Reason For Not Attending* This field is required.
Previously Attended The Class
My Schedule Does Not Allow
5
Use the following link to the online Dedication Class. If you are not able to attend the "In-Person" class, please use the link below to view the online video before the Dedication Service.

https://youtu.be/UWQjnz399vc
Should be Empty: