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CHILD DEDICATION FORM
CHILD DEDICATION SCHEDULE
Date of child dedication:
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
CHILD'S DETAILS
Child's Full Name
*
Legal name as in Birth Certificate
Meaning of her/his name (if applicable):
Gender
*
Male
Female
Date of Birth
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
PARENT'S PARTICULAR
Father's Name
*
First
Surname/Family
Mobile No.
*
Father's Email:
*
Mother's Name
*
First/Given
Surname/Family
Mobile No.
*
Mother's Email:
*
OTHER INFORMATION
Are you attending Every Nation Singapore?
*
Yes
No
Which church/service location do you attend?
*
Harbourfront
Kallang AM
Kallang PM
Are you part of a Lifegroup?
*
Yes
No
Privacy Policy Agreement
Confidentiality of your personal data is important to us. We will use your contact information for event communication purposes only and will only be accessible to the organisers.
Consent
*
I agree to the collection, use and disclosure of our personal data by Every Nation Church Singapore for purposes related to events organised by Every Nation Church Singapore.
Please read our data protection policy, including how you may access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data.
