DC Child Dedication Form

We’re thrilled to celebrate this special moment with you and your family as you dedicate your child at Disciples Church! Once you’ve completed the form, a member of our DC Kids team will be in touch to provide additional details and schedule your child’s dedication.

Be sure to review the attached child dedication guidelines, and if you have any questions, don’t hesitate to reach out. You can call us at (708) 429-7729 or email us at kids@dc.one. We’re here to support you every step of the way!

Dedication Guidelines:
https://docs.google.com/document/d/1oF7yPFmIeYBi7jg8qRBf1q-fkZJN62fQ/edit?usp=sharing&ouid=117348134141295374168&rtpof=true&sd=true

Your name *

Last name

Email address *

Phone number

Phone type

Address

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Have you read and understand the Dedication Guildelines?

Attached in Google Document above.

Yes

Are you a member of Disciples Church?

Yes

Date of Dedication *

Dedication will take place at the 12:30pm Service.

November 30th

2026 - March 29th

Are you dedicating multiple children?

Yes

Child's Full Name

Child's Date of Birth

Child's Gender

Male

Female

Mother's Full Name

Father's Full Name

Are you currently married?

If No or Engaged the DC Kids Director will reach out to discuss further.

Yes

Engaged

Number of seats to reserve for family and friends.

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Disciples Church
7084297729

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