Parent and Child Dedication Class
This form enrolls you for the next Parent and Child Dedication Class. Attendance of this class is a pre-requisite for the Parent and Child Dedication Service.
Parent and Child Dedication Brochure
(Brochure.pdf - 557 KB)
Contact Information
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required
First Name
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Last Name
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Contact Phone
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Email
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* Notes
Please type the first child's name as you want it on the certificate.
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Age of Child
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Please type the second child's name as you want it on the certificate.
Age of Child
Please type the third child's name as you want it on the certificate.
Age of Child
I completed the Discover Life Link Membership Class on...
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I have volunteered for at least 3 months in the following area
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