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 * ---FemaleMale Date of birth * ---2006200720082009201020112012201320142015201620172018 ---JanFebMarAprMayJunJulAugSepOctNovDec ---12345678910111213141516171819202122232425262728293031 Age * Info of other siblings (if any) Sibling's name# Age Dedicated? Yes No Sibling's name# Age Dedicated? Yes No Sibling's name# Age Dedicated? Yes No Father's Info Name *# NRIC *: Date of birth *: ---JanFebMarAprMayJunJulAugSepOctNovDec ---12345678910111213141516171819202122232425262728293031 Mobile *: Email *: Date received Christ *: Attending Petra? *: Yes No Date joined Petra:(if applicable) Mother's Info Name *# NRIC *: Date of birth *: ---JanFebMarAprMayJunJulAugSepOctNovDec ---12345678910111213141516171819202122232425262728293031 Mobile *: Email *: Date received Christ *: Attending Petra? *: Yes No Date joined Petra:(if applicable) No. of years married *: Form submitted by? *: Father Mother 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.)
