Child Dedication Request Form

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.

Please indicate your first and second choices for the Mother’s Day service you wish to have the dedication performed at: 8:30 10:00 11:30 Or If you are requesting a special service performed by the elders at another date, please indicate your desired time-frame.

Comment Box