Child Dedication Form

Your name *

Email address *

Child's Information

Child's Full Name *

Please provide your child's first, middle, and last name.

Child's Birthday *

The day your child was legally born

Child's Gender *

Child's birth place. *

Provide the city and state your child was born in.

Date child will be dedicated. *

Complete the information below

I am the child's *

Phone Number *

Address *

Is the other parent/legal guardian going to be present? *

Does your child have a Godparent(s)?

Any questions or additional information you want to provide about the Child Dedication let us know.

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