Infant/Child Dedication
Rhema Christian Ministries of Canada Inc.
Registration Form P.O. Box 30123 | Toronto, ON | M3J 3L6
  Phone: (416) 496-1794 | Fax: (416) 496-1795
 
Membership Number    
First Name (mother) Last Name (mother)
First Name (father) Last Name (father)
Home Phone Alternate Number
Address City
Province/State Country
Postal Code E-mail 

Child (1)		  
Child (2)
  
First Name First Name
Last Name Last Name
Gender Male Female Gender Male Female
Date of Birth (dd/mm/yy) Date of Birth (dd/mm/yy)
Age at Blessing Age at Blessing
Godparents Godparents
       
Date requested (dd/mm/yy) * Dedications occur on the first Sunday of each month.
Number of people at altar? * Maximum of 5 people (including parents) any additions must be pre-authorized by the Dedication Co-ordinator.
       
NOTE:      
To add more children please complete another form.
Prior to the Dedication Service, parents/guardians are required to attend a Parenting Workshop (PW).
One of our Administrators will be contacting you to confirm the details of your PW session and Dedication Service.
       
     
For additional information contact the Rhema Christian Ministries head office at (416) 496-1794.
 

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