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Parent/Child Dedication Form
Error
Work Entry
Child Dedication is a commitment to raise your child in the ways of the Lord. We are excited to come alongside you as you prepare for this milestone.
Child's Info
Child's Full Name
Child's Full Name is required.
Child's Birthdate
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1912
1911
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1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Child's Birthdate cannot be a future date.
Dad's Info
Dad's Name
Dad's Name is required.
Dad's Email
Email address is not valid
Dad's Email is required.
Dad's Phone Number
Dad's Phone Number is required.
Mom's Info
Mom's Name
Mom's Name is required.
Mom's Email
Email address is not valid
Mom's Email is required.
Mom's Phone Number
Mom's Phone Number is required.
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Date of Dedication (we need at least 3 weeks to prepare the dedication material for your family)
Date of Dedication (we need at least 3 weeks to prepare the dedication material for your family) is required.
Have you talked with anyone on the Children's Ministry team about Dedication?
No
Yes
Have you talked with anyone on the Children's Ministry team about Dedication? is required.
Submit