Personal & Private

Event Request

Person Requesting

Do you attend Valley?

Yes

No

Email

Phone

Type of Event you are requesting

Baby Dedication

Baptism

Funeral/Memorial Service

Wedding

Other

If selecting other, please specify

Name of other Parent

Baby's Name

Baby's Date of Birth

Person being baptized

Baptismal Candidate's Date of Birth

Deceased's Name

Did the deceased attend Valley?

Yes

No

Fiancé(e)'s Name

Does your fiancé(e) attend Valley?

Yes

No

Preferred Date

2nd Choice

3rd Choice

Comments or Questions

Thanks for submitting. Our church secretary will contact you.

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