child dedication sign up

Please fill out the following form to register your child for a child dedication ceremony; please fill out a separate form for each child being dedicated. Additionally, please email a photo of each child to Edith Buller-Breer: edithbullerbreergcc@gmail.com. Registration deadline is Monday, May 8.

You can also read about Child Dedication Information here.

Phone
Phone
Child's Date of Birth *
Child's Date of Birth
Some parents choose to tell us what the child's name means or who they were named after. You may also tell us how the child has impacted the family or something about their personality or what they like.