Bolingbrook Campus: Child Dedication

Child

Child's Information

First Name

Middle Name

Last Name

Gender

Male Female

Date of Birth

If your child has a nickname that you would like us to use, please let us know.

Child's Nickname

Please provide the phonetic spelling of your child’s first and last name. For example, Sophia Liley would be “So-FEE-uh Ligh-lee”.

Phonetic Spelling of Child's First Name

Phonetic Spelling of Child's Last Name

Parent's Information

Father's Name

Mother's Name

Phone Number

We have completed the letter for our child which will be opened when they turn 18.

Yes No

We have selected the following verse for our child: (Please include the exact verse and citation.)

Siblings names and ages

How did you hear about this event?

Which Sunday would you like to participate?