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Child Dedication Class on Sunday, October 27, 2024 @ 12:00 PM

Price:

0.00

*Attendee's First Name:

*Attendee's Last Name:

*Attendee's Email Address:

*Attendee's Phone Number:

Country:

Address Line 1:

Address Line 2:

City, State Zip:

Please provide the following information.

Name of parent(s) or guardian(s) desiring dedication of child(ren)

*Mother's Full Name:

*Father's Full Name:

*Phone Number:

*Email Address:

*Home Address:

*Relationship Status

* Are parents or guardians living together?

*Are both parents or guardians planning to participate in Child Dedications?:

*First, Middle, & Last Name of Child #1 to be dedicated

*Date of Birth for Child #1 (MM/DD/YYYY)

First, Middle, & Last Name of Child #2 to be dedicated

Date of Birth for Child #2 (MM/DD/YYYY)

First, Middle, & Last Name of Child #3 to be dedicated

Date of Birth for Child #3 (MM/DD/YYYY)

If you have more than 3 kids you want to dedicate, please list the remaining children below with their birthdays.:

If there could be any question about pronunciation of names, please write them phonetically

*How long have you been attending WACC?

*If you have attended WACC for less than 1 year, were you attending another church?

If so, where?

*Is mother a follower of Jesus?

*When did mother decide to follow Jesus? Why is she choosing to dedicate her child @ WACC?

*Is father a follower of Jesus?

*When did father decide to follow Jesus? Why is he choosing to dedicate his child @ WACC?

*Tell us about your child(ren). [Personality, interests, their favorite things (past times, people, words, songs, etc.)]

*Is there a Bible verse you have chosen for your child(ren) and/or family? If so, what is the verse?

Anything else you would like to share or that we should know about your family? :

Please select your most preferred and second most preferred service times for Child Dedications below. You can choose 9 AM, 10:30 AM, and 12 PM services. Please do not pick the same option more than once. We will do our best to accommodate everyone, but know that you may or may not get your first choice.

*Most Preferred Service Time:

*Second Most Preferred Service Time:

Thank you for completing the online registration. You will receive a follow up email with more information regarding the Child Dedication. We look forward to celebrating this milestone with you and your family.

Registration Total: