Vertical Church Albuquerque

Mother's Name

Father's Name

Parent's Phone Number

Parent's Email Address

Child's First Name

Child's Last Name

Child's Gender
Female
Male

Child's Date of Birth

Is there a Bible verse you've chosen for your child?

Will you be bringing up other children during the dedication?
Yes
No

If yes, please provide his / her name(s) and age(s)

Additional Comments

Parent Commitment Child Dedication Form