Child Dedication Request Form

"Let the little children come to me, and not hinder them, for the kingdom of God belongs to such as there." Mark 10:14 NIV.

Requests should be submitted as far in advance as possible. The church administrator will contact you for confirmation of a date, once it has been approved. For questions please call the church office at (626) 794-3953 or email info@altadenasdafamily.org.

Your name *

Email address *

Phone number *

Address *

Mother's Name *

First Name, Last Name

Father's Name *

First Name, Last Name

Child's legal name *

Gender *

Male

Female

Child's date of birth *

Are either of the parents ASDAC members? *

Yes

Requested date of dedication *

Give a date by the month, day, and year (mm/dd/yyyy). Provide at least two dates in order of preference.

Please provide us with family information for the overhead announcement and introduction *

Names of other children in the family, etc.

Please provide a photo of the family for the overhead announcement.

If you would like assistance with a brief picture slide presentation, please comment below and someone from our team will assist you.

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