HIJ Child Dedication Form
Name of the Child (Exact Dedication Name)
*
First Name
Middle Name
Last Name
Father's Name
*
First Name
Last Name
Mother's Name
*
First Name
Last Name
Date of Birth of the Child
*
-
Day
-
Month
Year
Date
WhatsApp Number
*
Email
Place of Child's Birth
Mention if there is any Testimony about the Child and/or during/about the Birth of the Child
0/2000
Are you a member of Hope in JESUS Church?
Yes
No
Submit
Should be Empty: