EmailMeForm
The Lift Church Child Dedication - February 2020
You are registering your child(ren)'s Child Dedication for our service on Sun., Feb 23.
Child's Name (being dedicated)
*
First
Last
Birthdate
*
MM
/
DD
/
YYYY
Child's Name #2 (being dedicated)
First
Last
Birthdate
MM
/
DD
/
YYYY
Child's Name # 3 (being dedicated)
First
Last
Birthdate
MM
/
DD
/
YYYY
Parent/Guardian's Name
*
First
Last
Relation to the child
*
Parent/Guardian's Name #2
First
Last
Relation to the child
Email
*
Phone
*
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Will you have any grandparents in attendance you would like us to recognize by having them stand during your child's dedication? If so, please list their names here: