Child Dedication Registration

All fields marked * are required.
# Applicants from the Chinese congregation, please fill in name in Chinese characters as well.

Child's Info
Name of Child to be dedicated *#

Birth Cert No.*:

Gender *

Date of birth *

Age *

 
 
Info of other siblings (if any)
Sibling's name#

Age

Dedicated?

 
Sibling's name#

Age

Dedicated?

 
Sibling's name#

Age

Dedicated?

 
 
Father's Info
Name *#

NRIC *:

Date of birth *:

Mobile *:

Email *:

Date received Christ *:

Attending Petra? *:

Date joined Petra:
(if applicable)

 
 
Mother's Info
Name *#

NRIC *:

Date of birth *:

Mobile *:

Email *:

Date received Christ *:

Attending Petra? *:

Date joined Petra:
(if applicable)

 
 
No. of years married *:

Form submitted by? *:

 

Important Notes
* At least one parent must be worshipping at Petra Church.

* Both spouses must attend the mandatory class prior to the Child Dedication service. The class will be conducted on Sat 7 July, 1pm-3pm in Room B.

 

I declare that my spouse and I have given our consent for our child to be dedicated, all information given above is true and correct and we have read the above important notes. I will commit to attending Petra Church's child dedication class prior to dedicating my child.

I hereby give consent for Petra Church to use the photographs and videos taken during the Child Dedication service in various social media platforms with discretion. By signing this application form, I agree that Petra Church may collect, use and disclose my personal data provided here in accordance with the Personal Data Protection Act 2012 and Petra Church’s data protection policy (available at www.petra.sg/privacy-policy.)