Child Dedication Request Form
Our next Child Dedication Sunday is July 15th. Parents who have children ages infant - 3 y.o. must attend the Child Dedication Class scheduled for Thursday, June 21 @ 6:30pm. Upon the receipt of this completed form a CBC staff person will contact you to confirm your class registration.
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Your Information
Name - First/Last *
Email *
Phone # *
Alt. Phone #
Address, City, State, Zip *
Are you a member of CBC? *
Are their any special circumstances involved with the dedication of your child(ren)?
Child(ren's) Information
1 - Child's Full Name *
1 - Child's Date of Birth *
2 - Child's Full Name
2 - Child's Date of Birth
3 - Child's Full Name
3 - Child's Date of Birth
4 - Child's Full Name
4 - Child's Date of Birth
Do you have a Pastor in mind for your dedication?
Please note: We will do our best to accommodate your request, but there is no guarantee of the availability of the requested Pastor.
Have you already contacted the Pastor?
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Comments or Questions?
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