Family Dedication Request Form

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 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?:
*Which Date?:
*What is your first choice in service time?:
*If that service if full which would you prefer as a backup? :
*How many children will be participating in the Family Dedication?:
*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: