Parent/Child Dedication Registration
May 12, 2024
Child's First, Middle and Last Name
*
Child' s DOB
*
Gender
Male
Female
Parent or Gaurdian
Male First Name
Male Last Name
Parent or Gaurdian
Female First Name
Female Last Name
Sibling(s) Name(s)
Parent's E-mail
*
Parent's Phone Number
*
-
Area Code
Phone Number
Do you have a bible verse you would like to dedicate to your child?
Yes
No
If yes, please write out here
Which service would you like to dedicate at?
*
8:00 AM
9:30 AM
11:15 AM
Please upload 3 child/family pictures
Upload a File
Cancel
of
Parent/Child Dedication Orientation
May 8 - 6:30PM - Room TBD
If you are unable to attach photos please email three pictures to media@riveroakchurch.org
Register
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