Dedication Application • Caringbah Anglican Church

Thanks for contacting us, we'd love to be part of this time in your family's life.

Child's Full Name *

Tip: Type the name you would like to appear on the certificate

Date of Birth

Last Name *

Father's Name

Mother's name

Home Address

Email Address *

Mobile Number *

Are you a member of St Phil's?

In brief, outline your understanding of Christianity

Why have you chosen to have your child dedicated at St Phil's?

What is the long term outcome you would like from your child's dedication?

Sponsor 1's Name (if applicable)

Sponsor 2's Name (if applicable)

Preferred date for dedication

Other information