Radiant Church - IL - Baby Dedication Sign Up

Mother's Full Name

Father's Full Name

Email Address

Phone Number

Childs Name(s) and age, clearly separate names if you have multiple children to dedicate. Please ensure correct spelling and include middle name if you would like

Do you agree to submit a recent photo of your child(ren) to office@radiantspringfield.com to be used on dedication Sunday?
Yes
No

I want my child to be dedicated