Request edit access
Child Dedication Sign Up
Our next child dedications will be on January 20, 2019 at GraceSLO and Grace5Cities
Phone Number *
Your answer
Parent's Names *
Your answer
Date of Birth *
Child's Full Name *
First, Middle & Last Name
Your answer
Gender *
Siblings Name(s) and Age(s)
Your answer
Email *
Your answer
Which campus do you attend?
At which campus and service would you like your child dedicated?
Grace5Cities Campus
There are 2 spots left:
GraceSLO Campus
There is one spot left:
Never submit passwords through Google Forms.
This form was created inside of Grace Central Coast. Report Abuse - Terms of Service