Child Dedication Registration
Please fill out this form for our Child Dedication. When you are finished, please email a picture of your child to countrychristianchurch@gmail.com
Child's Name
*
Parent(s) Name
*
Email
*
This address will receive a confirmation email
Phone
Child's Date of Birth
*
Child's Gender
*
Please select one option.
Male
Female
Do you know the meaning of the child's name?
*
Please select one option.
Yes
No
If you marked yes to the previous question, it is:
Submit
Description
Please fill out this form for our Child Dedication. When you are finished, please email a picture of your child to countrychristianchurch@gmail.com
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