CHILD DEDICATION FORM - RIVER VALLEY VANCOUVER

I am interested in having my child(ren) dedicated at River Valley Vancouver. *

Dedication Date *

Please choose a date that works best for you.

November 16th, 2025

February 22, 2026

None of these dates work, can someone please connect with me?

What is your child(ren)'s name *

What is your child(ren)'s age *

Any specifics (meanings, significance etc.) about their name: *

Parents & Siblings names: *

Anyone you would like to join you on stage during the Dedication: *

Anything special you would like to share about your baby: *

Any other special requests: *