PARENT/CHILD DEDICATION REQUEST

Mother's Day, May 9, 2010, 1:00PM


I have read the FAQs from the previous page.
Father's Full Name:
Mother's Full Name:
Will both parents be attending the dedication? Yes No,
If not both parents, who will be attending?
How long have you been attending Manchester Christian Church?
 
Home Address:
Street:
City:
State:
Zip:
Phone:
Other Phone:
Email:
 
Best time and way to communicate with you?
 
Child's Full Name:
Date of Birth:
Boy or Girl
If you wish to dedicate more than one child, please enter the additional child’s information in the comment box below.
 

If you are requesting a special service performed by the elders at another date, please indicate your desired time-frame.
 
Comment Box
 
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