Child Dedications at Immanuel International

If you have a child and you would like to have your child dedicated to God,
please let us know by filling out the following form to make an apointment.
Once the form is filed, someone will then contact you about setting a date
for the dedication to occur.

First name of child/adult being dedication:(*)
Ogiltig inmatning

Middle name of child/adult being dedicated:
Ogiltig inmatning

Last name of child/adult being dedicated:(*)
Ogiltig inmatning

E-mail(*)
Ogiltig inmatning

Place of birth (City and Country):(*)
Ogiltig inmatning

Date of birth (day/month/year):(*)
Ogiltig inmatning

Daughter/son of father's first name:(*)
Ogiltig inmatning

Daughter/son to father's last name:(*)
Ogiltig inmatning

daughter/son to mother's first name:(*)
Ogiltig inmatning

Daughter/son to mother's last name:(*)
Ogiltig inmatning

Home Address:
Ogiltig inmatning

Post Number:
Ogiltig inmatning

City:(*)
Ogiltig inmatning

Phone number
Ogiltig inmatning

God-parents/sponsors first name:
Ogiltig inmatning

God-parents/sponsors last name:
Ogiltig inmatning

Requested date:
Ogiltig inmatning

Invalid Input

Send