Parent/Child Dedication Form Church OfficeMay 4, 2022McConnell Church Parent/Child Dedication Information for Parent/Child Dedication on 6/19/2022 Father's Name First Last PhoneThe best number to reach you.Father's Email Enter Email Confirm Email Mother's Name First Last PhoneThe best number to reach you.Mother's Email Enter Email Confirm Email Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child 1 First Middle Last Birth Date MM slash DD slash YYYY Child 2 First Middle Last Birth Date MM slash DD slash YYYY Child 3 First Middle Last Birth Date MM slash DD slash YYYY Child 4 First Middle Last Birth Date MM slash DD slash YYYY Child 5 First Middle Last Birth Date MM slash DD slash YYYY Child 6 First Middle Last Birth Date MM slash DD slash YYYY Add any other info here: (Optional)
