Parent/Guardian Information

Father/Guardian Information

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Mother/Guardian Information

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Child Information

First name

Last name

Gender

Child's Birthdate

Dedication Ceremony Information

Requested Date of Dedication (See availability information below)

Availability: Child Dedication ceremonies are available on the 2nd, 3rd, and 4th Saturdays of each month during our 11:30am worship services. Please note that exceptions apply for scheduled special events and/or Feast services.

Number of anticipated guests:

Preference for Certificate Delivery:

Do you have a GCC officiant preference?

Additional Information

In keeping with the spirit of excellence in the ministry here at Grace Congregational Church, the following information and guidelines should ensure a wonderful Child Dedication Ceremony. Please feel free to contact the church administrative office if you have any questions.

Reserved seating will be provided for the reported anticipated guests.
Any additions or changes to the anticipated guest number greater than three (3) should be reported in writing via email (info@gcchtx.org) to the administrative office one week prior to the Child Dedication service.
On the day of the dedication, we ask that you arrive 10-15 minutes before service starts. We will meet with the parents/guardian(s) a few minutes before the service in order to cover the flow of the service.

By selecting the boxes below, I am indicating that I have read, understood, and agreed to the following:

I understand that the ceremony date is approved based on availability. I will be notified in writing (via email) of the approved ceremony date.

I understand that final approval to perform the child dedication ceremony rests with the Senior Pastor.

Signature

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Full Name (Signature)

Parent/Guardian Information

Father/Guardian Information

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Mother/Guardian Information

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Child Information

First name

Last name

Gender

Child's Birthdate

Dedication Ceremony Information

Requested Date of Dedication (See availability information below)

Number of anticipated guests:

Preference for Certificate Delivery:

Do you have a GCC officiant preference?

Additional Information

Reserved seating will be provided for the reported anticipated guests.
Any additions or changes to the anticipated guest number greater than three (3) should be reported in writing via email (info@gcchtx.org) to the administrative office one week prior to the Child Dedication service.
On the day of the dedication, we ask that you arrive 10-15 minutes before service starts. We will meet with the parents/guardian(s) a few minutes before the service in order to cover the flow of the service.

By selecting the boxes below, I am indicating that I have read, understood, and agreed to the following:

I understand that the ceremony date is approved based on availability. I will be notified in writing (via email) of the approved ceremony date.

I understand that final approval to perform the child dedication ceremony rests with the Senior Pastor.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Full Name (Signature)