Register Your Child Below

Child Dedication.jpg
 
 

Please fill out the form below. If you do not wish to have a parents name mentioned, please do not put their name in the registration form. All information will be read out loud during your child's dedication portion of the service. 

Child's Name *
Child's Name
Mother's Name
Mother's Name
Father's Name
Father's Name
Phone *
Phone
Use the space below to share a special tribute message to your child. This will be read out loud by the pastor during the service. Please limit comments to no more than 6 sentences. Thank you.