Child Presentation Form

If you are interested in your child being presented, please complete and submit the form below. It is suggested to bring dark shorts and tee-shirt.

Dedication Date

Child dedications are the 4th Sunday of every month.
Please select your requested date:

Child Dedication Date

Child's Information

First Name

Last Name

Birthdate

Gender

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

MOTHERS' INFORMATION

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

FATHERS' INFORMATION

First Name

Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

First Name

Last Name

Phone Number

Email

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