WG Child Dedications • The Pulse

Wangara Child Dedication Registration

Sunday 4th August 2024

Parent's Details

Mother's First Name *

Mother's Last Name *

Father's First Name *

Father's Last Name *

Contact Details

Mobile Number *

Email Address *

Details of Child Being Dedicated

Child's FULL Name *

Gender

Your child's date of birth *

Media Release: Nations Church Child Dedication services will be captured in photographs. By participating in the Child Dedication service you must give consent.

Media Release Waiver:
I give my consent to be captured on photographs and grant Nations Church the unrestricted right to use, reproduce, and publish photographs taken of me, including my image and likeness for promotional purposes. I release Nations Church and its representatives from any and all claims, actions and liability relating to its use of said photographs.

Do you agree to the Media Release Waiver? *

Yes

Tip: Please tick yes on behalf of your whole family.

Celebrate afterwards

We would love for you to invite your family and friends to celebrate your child's special day with you. After the service, your friends and family are invited to join in a light morning tea to celebrate your child's dedication. Please let us know how many people will be attending in the space below. Please include your immediate family

Number of people attending *

Tip: Please specify number of people attending. This is to reserve seats in the main auditorium and also for catering purposes for the morning tea after the service. Please include your immediate family.