Wheaton 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

How and why did you choose your child's name?

Have you attended a Parent Dedication Class? (If you have not, please select one of the dates at the bottom of the registration.)

Yes No

What scripture will you share for your child at the dedication? (Please include the exact verse and citation.)

What are your hopes and dreams for your child?

How did you hear about this event?

Child Dedication Class:

Dedication Dates