Child Dedication 04.25.2021
Event Address: 701 24 1/2 Rd, Grand Junction, CO 81505
Contact us at (970) 241.9692 or
kety@riveroflifegj.com
* Required
Email address
*
Your email
Which Service
*
First 9:00am (Arrive 8:45 in "cry room")
Second 11:00am (Arrive 10:45 in "cry room")
Required
How many children are you dedicating?
*
1
2
3
Name of child #1
*
Your answer
Name of child #2
Your answer
Name of child #3
Your answer
Birth date child #1
*
MM
/
DD
/
YYYY
Birth date child #2
MM
/
DD
/
YYYY
Birth date child #3
MM
/
DD
/
YYYY
Parents full names
*
Your answer
Address
*
Your answer
Verse of choice
*
Your answer
Please send pictures of children dedicated to
kety@riveroflifegj.com
(To be used for slideshow)
*
I will, no later than April 1st
Required
A copy of your responses will be emailed to the address you provided.
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