CHILD DEDICATION INFORMATION

Thank you for providing the information below in preparation for your child(ren)'s upcoming dedication.

Parent(s):

*

Attending RCnaz Since:

*

Connections at RCnaz (family or friends)

*

Email

*

This address will receive a confirmation email

Recent Family Photo (or of child(ren) - candid or professional)

*

Upload (8MB)

CHILD ONE INFORMATION:

Name (complete name for Certificate of Dedication):

*

Nickname (if relevant)

Birthdate

*

Something they love (activity, plaything, friend, family member...)

*

CHILD TWO INFORMATION

Name (complete name for Certificate of Dedication)

Nickname (if relevant)

Birthdate

Something they love (activity, plaything, friend, family member...)

CHILD THREE INFORMATION

Name (complete name for Certificate of Dedication)

Nickname (if relevant)

Birthdate

Something they love (activity, plaything, friend, family member...)

CHILD FOUR INFORMATION

Name (complete name for Certificate of Dedication)

Nickname (if relevant)

Birthdate

Something they love (activity, plaything, friend, family member...)

CHILD FIVE INFORMATION

Name (complete name for Certificate of Dedication)

Nickname (if relevant)

Birthdate

Something they love (activity, plaything, friend, family member...)

Description

Please fill out this form and click submit.