Application for Child Dedication
Share your child and parent/guardian details so the church can contact you about the next dedication.
Child's Surname
*
Full Name of Child
*
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Place of Birth
*
Parents or guardians
Surname of Father
Full Name of Father
Surname of Mother
Full Name of Mother
Complete the details that apply to your family. If you are a single parent or guardian, just fill in your own.
Address
*
Telephone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
As parent or guardian, I would like to dedicate this child at The Village FGC and I agree that the church may keep these details and contact me.
*
I agree
Submit Application
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