Baby Dedication Information
Parents wanting to have their child dedicated please complete this form. We will contact you as soon as possible to confirm scheduled.
Child's full name *
How you would like the name to appear on the certificate.
Your answer
Name to address child *
If nickname or middle name is to be used during dedication please enter.
Your answer
Child's complete birth date *
Month / Day / Year
Your answer
Father's full name *
How you would like it to appear on the certificate
Your answer
Mother's full name *
How you would like it to appear on the certificate
Your answer
Contact information *
Phone Number and email address required for confirmation
Your answer
First requested date *
Please give us 2 choices you would like to have the dedication on and we will do our best to fulfill your request.
Your answer
Second requested date *
Please give us 2 choices you would like to have the dedication on and we will do our best to fulfill your request.
Your answer
Family members attending *
Please list names of your family members attending and their relation to the child.
Your answer
Which Pastor would you perfer to perform the dedication *
Your answer
Please email a picture of your child to be used on the Sanctuary screen to tylerhudnall@kingsriver.org
Your answer
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