Child Dedication Form

If you are interested in having your child dedicated, please fill out the following information. Ginger Faller will reach out to you to schedule the dedication.

Your name *

Email address *

Phone number *

First and last names of the parents participating in the dedication: *

Full name of the child being dedicated: *

If dedicating more than one child, please list the full same for each child.

Full date of birth of child being dedicated: *

If you are dedicating more than one chid, please lest first name and DOB for each child.

Gender of child being dedicated: *

If dedicating more than one chid, please lest first name and gender for each child.

By checking this box, I give Vintage 242 Church permission to say my child's name and show this dedication on their livestream. *

Our Sunday services are livestreamed, and we need your permission to include your child's dedication.

Yes

Number of reserved seats needed for family and friends attending: *

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