EmailMe Form - Baby Dedication Class Registration

Baby Dedication Class Registration

Thank you for your interest in having your child dedicated at Water of Life. Please provide your information by filling out the form below.

Your Name: *
First Last
Date of Birth: *
MM / DD / YYYY
Phone: *
Email: *
Which campus location will you attend? *
Fontana
Upland
Which of the following best describes the parent's/guardian's marital and living situation? *
Married and living together
Never married and living together
Never married and not living together
Separated
Divorced
Other (please explain below)
How did you hear about the baby dedication class? *
Grow Catalog
WOL webpage
WOL mobile app
Church Host Announcement
Friend
Other