Child's Full Name (as you would like it to appear on the certificate) *
Be sure to include First & Last Name and any middle names you would like included
Which service would you like to dedicate your child to the Lord.
***** YOU CAN IGNORE THIS QUESTION FOR THIS JULY 2020 CHILD DEDICATION *****
Date of Birth *
Photos: we would ask that you please provide 1) a digital photo of your family (dad, mom, child, and siblings) and 2) one photo of your child by him/herself. Please email them to us: email@example.com *
The photos would be used in the powerpoint display during the child dedication on that day.