High River Alliance Church - Child Dedication

Child Dedication Form

If you'd like to dedicate your child, please fill out the following form and someone will be in touch.

First Name

Last Name

Email

Mobile Phone

Parent #2 First Name

Parent #2 Last Name

First Name

Last Name

Birthdate

Gender

If you have more than one child being dedicated, please list names, ages and gender below.

Do you have a specific date in mind? (please note this date will not guaranteed)

Anything else you would like to share?