Champion Church - Child Dedication Application
Please fill out this form and click submit. Someone will contact you with the dates of the next Baby Dedication Service at Champion Church.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Child's Full Name
*
Child's Date of Birth
*
Which Service would you like to dedicate?
*
Please select one option.
9am
10:15am
11:30am
If you are dedicating more than one child please list them here with their birthdates.
Submit
Description
Please fill out this form and click submit. Someone will contact you with the dates of the next Baby Dedication Service at Champion Church.
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