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TCA DEDICATION FORM
(Do not submit multiple times for a single registration)
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* Indicates required question
Date of Dedication
*
MM
/
DD
/
YYYY
Name
*
Your answer
Home Address
*
Your answer
Nearest Bus Stop
*
Your answer
Phone Number
*
Your answer
Email
Your answer
What are you Dedicating?
*
Your answer
Please fill Below, if you are dedicating a Child
“Lo, children are an heritage of the LORD: and the fruit of the womb is his reward” (Psalms 127:3)
Child's First Name
*
Your answer
Child's Second Name
*
Your answer
Child's Other Name(s)
Your answer
Sex of Child
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Mother's Name
*
Your answer
Father's Name
Your answer
Address of House Fellowship centre
*
Your answer
House Fellowship Leader's Name
*
Your answer
Official remark (To be filled by authorized official only)
Your answer
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