JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Child Dedication Request Form
Child Dedications at Riverwood will be happening at all sites on Mother's Day Weekend - May 11th & 12th
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Parents
*
Your answer
Full Name of Child
*
Your answer
Birthdate of the Child
*
Your answer
Your preferred service location & time:
*
Factory 5:15
Factory 9:15
Factory 11:15
Warehouse 10:15
Firehall 10:15
How long have you attended Riverwood?
*
Your answer
Have you dedicated a child at Riverwood before?
*
Yes
No
If your answer to the previous question is "no", briefly tell us about your faith journey here. (both parents - if both are involved in the dedication)
Your answer
Parent's Email Address
Your answer
Pastor Carolyn will be in touch with you regarding further details
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Riverwood Church Community.
Report Abuse
Forms
