Request edit access
PARENT DEDICATION REGISTRATION
Rich Pond Baptist Church will recognize parents and children on Mother's Day, Sunday, May 13, 2018. If you would like to participate in this program, please answer the questions below and submit. Also, photos of the babies will be shown during the program and in the Sunday bulletin. Please attach a digital photo of the child to an e-mail and send to danny@richpond.org. This photo should be a high-quality digital image for best results. Registration deadline is Friday, May 4, 2018.
Baby's Last Name *
Your answer
Baby's First & Middle Names *
Your answer
Baby's Date of Birth *
Your answer
Boy / Girl? *
Father & Mother Names *
Your answer
Contact E-Mail *
Your answer
Contact Phone Number *
Your answer
Which service will you plan to attend? *
I plan to attend the orientation on May 7, 2017 *
I have sent a digital photo to danny@richpond.org *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms