Brisbane - Families - Child Dedications • Citipointe Church

CITIPOINTE BRISBANE CHILD DEDICATIONS

As Citipointe, we are honoured to be a part of the village that your family belong to and are excited to share in this special moment with your family. If you have any questions regarding child dedications while filling in this form, feel free to email us at families@citipointechurch.com.

Parent's Details

Parent/Guardian #1 Details

First Name *

Last Name *

Mobile Number *

Email Address *

Parent/Guardian #2 Details

First Name

Last Name

Mobile Number

Email Address

Child/ren's Details

Child 1

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male

Female

Child 2

Child's Full Name

Child's Date of Birth

Child's Gender

Male

Female

Child 3

Child's Full Name

Child's Date of Birth

Child's Gender

Male

Female

Child 4

Child's Full Name

Child's Date of Birth

Child's Gender

Male

Female

Dedication Service Info

Date of Dedication *

18th Aug (must submit by Wed 7th Aug)

27th Oct (must submit by Wed 16th Oct)

26th May (CLOSED)

Which service would you like to have your child/ren dedicated at? *

Our photography team are able to take a family photo after the service, would you like this?

Yes

No

How many seats can we reserve you and your guests?

Number of Seats for ADULTS *

Number of seats for CHILDREN *

Can we help you connect further at Citipointe?

I want to join a LIFEGROUP

I want to join a TEAM

I want to know more ABOUT CITIPOINTE

PRIVACY POLICY

Citipointe Church considers any information you share with us to be private. Looking after your personal information is something we value as an organisation and we hope you feel confident that any information you share with us will be looked after and safely used. For more information about our privacy practices please visit our website at citipointechurch.com/privacypolicy.