2018 CHILD DEDICATION
Event Date: Sunday, May 13th, 2018
Event Address: West Ridge Community Church. 3300 Encounter Lane. Elgin, IL 60124
Questions? Contact us! 847-488-1800 Ext. 121 or jimena@westridgechurch.net
Parent # 1 Name *
Your answer
Parent # 2 Name *
Your answer
Email *
Your answer
Address *
Your answer
Cell Phone Number *
Your answer
Do you currently attend West Ridge? *
If yes, how long have you been attending?
If no, how did you hear about our Child Dedication?
Your answer
Name of Child # 1 to be dedicated (Name as it will appear on the certificate) *
Your answer
Date of Birth of Child # 1 *
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YYYY
Name of Child # 2 to be dedicated (Name as it will appear on the certificate)
Your answer
Date of Birth of Child # 2
MM
/
DD
/
YYYY
Name of Child # 3 to be dedicated (Name as it will appear on the certificate)
Your answer
Date of Birth of Child # 3
MM
/
DD
/
YYYY
Preferred Service *
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