Child Dedication Sign Up - Northwest Church

Phone number *

Child's Parents Names *

What is Your Relationship With Northwest Church? *

Member

Attender

Guest

Which Month Would You Like to Request? *

Dedications take place the 2nd weekend of every month.

What Service Would You Like to Dedicate Your Child At? *

5pm Saturday

9am Sunday

11:30 Sunday

Name of Your Child (as you would like it to appear on the certificate) *

(First, Middle, Last)

Child's Date of Birth *

Is Your Child a Boy or a Girl? *

Boy

Girl