Child & Family Dedication

Child 1 Information

First Name

Last Name

Gender

Birthdate

Child 2 Information

First Name

Last Name

Gender

Birthdate

Child 3 Information

First Name

Last Name

Gender

Birthdate

Father's Information

First Name

Last Name

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Mother's Information

First Name

Last Name

Email

Address

Phone Number

Grandparents & Guardians Information

Names of Grandparents

Names of Guardians (Godparents)

Other Information

How many persons do you anticipate will come to church for the dedication, including guardians, family and friends?