Baby Dedication - Rock of KC

Parent's Information - Required

Father's Full Name

Mother's Full Name

Child's First Name *

Child's Last Name *

Child's Birthdate *

Child's Gender *

Child's Photo *

Please provide a photo of your child to be displayed during the dedication. The photo should be of the child by themselves.

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What Service Would You Like *

Please choose one

Saturday, May 9th 5pm

Sunday, May 10th 9am

Sunday, May 10th 10:45am

Saturday, July 11th 5pm

Sunday, July 12th 9am

Sunday, July 12th 10:45am

Saturday, September 12th 5pm

Sunday, September 13th 9am

Sunday, September 13th 10:45am

Saturday, November 7th 5pm

Sunday, November 8th 9am

Sunday, November 8th 10:45am

How Long Have You Attended the Rock? *

Have You Attended a Discover the Rock Class? *

Yes

No