Child Dedication - Sign up Form
*Parent Name
Parent Name
*Address
*City
*State
*Zip
*Home Phone
*Work or Cell Phone
*Email
Number of Adults attending the ceremony
Please select a number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Number of Children attending the ceremony
Please select a number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Children being dedicated
(list name as you would like it read on Dedication Certificate)
*Child 1 being dedicated
Age:
Child 2 being dedicated
Age:
Child 3 being dedicated
Age:
Child 4 being dedicated
Age:
Please write a short note to your child about what this day means to you (you may also include a scripture verse). (max 150 words)
