Child Dedication

Child Dedication Form
Please provide a scanned/photo copy of the following documents to childdedication@gnwchurch.org or you can upload it below:
1. Child's Birth Certificate
2. Marriage Contract
Child's Birth Certificate

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Marriage Certificate

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Child's Info
Child's Full Name
Please check spelling
Father's Full Name
Please check spelling
Mother's Full Name
Please check spelling
Child's Date of Birth
mm/dd/yyyy
Child's Place of Birth
City, State
Requested date of Dedication
PLEASE NOTE: This is a requested date. We will contact you once it's confirmed.
Requested time of Dedication
Do you want the Dedication at God's New Wineskin Church?
PLEASE NOTE: It will be on a Sunday after service.
If not, where is the venue?
Witnesses/Godparents
Total number of Godparents*
Please list the full names. (Please check spelling)
Remarks (please annotate any request):
Contact Info

Please provide your contact info in case we have questions.
Name

Your First NameYour Last Name
Email
example@example.com
Phone Number

Area CodePhone Number
Best Form of Contact
What's the best way to reach you?
Should be Empty:

Child Dedication Form