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 * required

Person being baptized

Is baptismal candidate over 18? *

Yes

No

Baptismal Candidate's Date of Birth * required

Do you have a baptism date in mind? *

Yes

Not sure yet

Deceased's Name

Did the deceased attend Valley? *

Yes

No

Fiancé(e)'s Name

Does your fiancé(e) attend Valley? *

Yes

No

Preferred Date * required

2nd Choice * required

3rd Choice * required

Comments or Questions

Thanks for submitting. Our church secretary will contact you.

‭951 672-9699‬

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