CHILD DEDICATION

Dedications are done at the 12PM service only, and are limited to children 5 years and younger.

PARENT / GUARDIAN INFORMATION

First Name

Last Name

Email

Phone Number

Gender

Marital Status

Please only list children being dedicated.

Child's First Name

Child's Last Name

Gender

Birthdate

Apartment, suite, etc.

City

State

Zip/Postal Code

Is there any other information you'd like to share?