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Show Summary (0)
Family Dedication Request Form
*
First Name
*
Last Name
*
Email Address
*
Phone Number
If you are not a Member please join us at one of our We Are Coastal Classes by clicking
here
. If you are unsure of your membership status please email Bethany@gocoastal.org for more info. We would love to help get you connected in our Membership process.
*
Which campus would you like to have your child dedicated at?:
Deer Park
Gloucester
Yorktown
*
Which Date?:
March 21, 2021--One parent must be a Member in good standing OR have attended one of our We Are Coastal classes by March 6th, 2021
November 21, 2021--One parent must be a Member in good standing OR have attended one of our We Are Coastal classes by November 6th, 2021
*
What is your first choice in service time?:
-- Select --
Deer Park @ 10:00
Gloucester @ 9:00
Gloucester @ 10:30
Yorktown @ 8:00
Yorktown @ 9:30
Yorktown @ 11:15
*
If that service if full which would you prefer as a backup? :
-- Select --
Yep, still keeping Deer Park @ 10:00 :)
Gloucester @ 9:00
Gloucester @ 10:30
Yorktown @ 8:00
Yorktown @ 9:30
Yorktown @ 11:15
*
How many children will be participating in the Family Dedication?:
1
2
3
More than three? Time is limited for you. We'll email you for all the info, then you can reply during naptime.
*
First Child being Dedicated (First, Middle, Last, & any suffix):
*
First Child's Date of Birth:
*
Please tell us briefly how you decided on your their name.:
Second Child being Dedicated (First, Middle, Last, & any suffix):
Second Child's Date of Birth:
So, what's the story on their name?:
Third Child being Dedicated (First, Middle, Last, & any suffix):
Third Child's Date of Birth:
Let me guess, coin toss to see who's name choice won?:
Every parent loves to show off their beautiful child, and now's the best chance to do so.
Please attach a picture of each child that will be dedicated, horizontal pictures work best.
But Wait! There's more! We'll add to your album with gorgeous pictures taken of the dedication.
*
1st Child's Photo:
2nd Child's Photo:
3rd Child's Photo:
Submit Form