Parent Commitment

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Please select date of Event

February 12, 2023

June 18, 2023

October 15, 2023

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Childs Name* This field is required.

First Name

Last Name

3

Child's Date of Birth* This field is required.

Date

4

Mom's Name* This field is required.

First Name

Last Name

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Dad's Name* This field is required.

First Name

Last Name

6

Phone Number* This field is required.

Area Code

Phone Number

7

Email* This field is required.

example@example.com

8

Please choose which service you would like to participate In:* This field is required.

8:30a (please arrive by 8:20am)

9:45a (please arrive by 9:30am)

11:15a (please arrive by 11:00am)

9

Please choose a verse to be read over your child.* This field is required.This will be displayed along with a pic of your child

10

Tell us in a few sentences why you want to be a part of the Parent Commitment ceremony. (Pastor Malcolm Marshall may share this when introducing your family).* This field is required.

11

Once you submit this form, we will contact you confirming your participation in the next Parent Commitment ceremony. At that time, we will also ask you to send us a picture of your child, so be thinking which one you want to share with the congregation.

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