Child Dedication Form Child's Full Name * First Name Last Name Birthdate * MM DD YYYY Siblings * (if applicable) Child's Shirt Size * 3-6 mos. 6-12 mos. 12-18 mos. 2T 4T 5T YS YM YL YXL Other Who is dedicating the child? * Below put the name(s) of the person dedicating the child and your relationship to the child. Parent/Guardian Email * Parent/Guardian Phone * (###) ### #### Campus you attend * If your campus has multiple experience times, please select which time you'd prefer your dedication to happen. Brighton Heights 10am Murrysville 10am North Braddock 10am White Oak 9am White Oak 10:45am What are your child's favorite things? * Statement * Example: How has your child been a blessing to you? What would you like the most for your child as he/she grows? Date you are interested in dedicating your child? May 11, 2025 (Mother's Day) Pictures of your child Please submit 3-4 of your favorite pictures to be displayed during the dedication. Send them to info@bridgecitypgh.com Thank you!