Child Dedication Form
Please register your child(ren) for Child Dedication using this form.

Please complete a separate form for each child being dedicated.

Forms are due to the church office no later than one week before the service.

Full Name of Child *
Your answer
Phonetic Pronunciation of Child's Full Name *
Your answer
Child's Birth Date *
MM
/
DD
/
YYYY
Parent/Guardian 1 *
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 1 Phone Number *
Your answer
Parent/Guardian 2
Your answer
Parent/Guardian 2 Email Address
Your answer
Parent/Guardian 2 Phone Number
Your answer
Siblings' Names and Ages
Your answer
Date of Service *
Time of Service *
How many special invited guests will attend (not including parents and siblings)? *
Your answer
Please provide a short paragraph (75 words or less) describing your hopes for your child as you dedicate them at First Universalist. *
Your answer
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