Child Dedication Form
REQUIRED CLASS - Sept 11 @ 6:00pm - 7:00pm in Kids Church Auditorium
How many children do you wish to dedicate at this time?
1
2
3
4
Child 1 Information
Child's First Name
*
Child's Middle Name
*
Child's Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Names of Child's Parents
*
Names and ages of Child's Siblings:
Names of grandparents you would like acknowledged:
Please upload a BABY picture of your child:
Please upload a FAMILY picture of your child:
What is your prayer for your child? (Please keep it to 2 sentences max, as this will be shared on Sunday morning)
*
Child 2 Information
Child's First Name
*
Child's Middle Name
*
Child's Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Names of Child's Parents
*
Names and ages of Child's Siblings:
Names of grandparents you would like acknowledged:
Please upload a BABY picture of your child:
Please upload a FAMILY picture of your child:
What is your prayer for your child? (Please keep it to 2 sentences max, as this will be shared on Sunday morning)
*
Child 3 Information
Child's First Name
*
Child's Middle Name
*
Child's Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Names of Child's Parents
*
Names and ages of Child's Siblings:
Names of grandparents you would like acknowledged:
Please upload a BABY picture of your child:
Please upload a FAMILY picture of your child:
What is your prayer for your child? (Please keep it to 2 sentences, max as this will be shared on Sunday morning)
*
Child 4 Information
Child's First Name
*
Child's Middle Name
*
Child's Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Names of Child's Parents
*
Names and ages of Child's Siblings:
Names of grandparents you would like acknowledged:
Please upload a BABY picture of your child:
Please upload a FAMILY picture of your child:
What is your prayer for your child? (Please keep it to 2 sentences max, as this will be shared on Sunday morning)
*
General Information
Contact Email
*
example@example.com
Contact Phone
*
-
Area Code
Phone Number
Which service will you be attending?
*
Sunday, Sept 17 @ 9:00 am
Sunday, Sept 17 @ 10:30 am
Will you need childcare for the required class on Monday, Sept 11?
*
Yes
No
Please list names and ages of children needing childcare during class:
Submit
Should be Empty: