[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.12.1″ _module_preset=”default” background_image=”http://thekings.asn.au/wp-content/uploads/2020/09/Baby-dedication-1.jpeg” hover_enabled=”0″ global_colors_info=”{}” title_text=”Baby dedication” sticky_enabled=”0″][et_pb_fullwidth_header title=”Dedication Form” _builder_version=”4.12.1″ _module_preset=”default” title_font=”|800|||||||” title_text_align=”center” title_text_color=”#ffffff” title_font_size=”40px” background_color=”rgba(0,0,0,0)” background_enable_image=”off” custom_padding=”54px||8px|||” hover_enabled=”0″ title_text_shadow_style=”preset4″ text_shadow_style=”preset4″ text_shadow_color=”#000000″ global_colors_info=”{}” sticky_enabled=”0″][/et_pb_fullwidth_header][/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|desktop” admin_label=”section” _builder_version=”4.6.3″ background_color=”rgba(182,192,193,0.12)” custom_padding_tablet=”50px|0|50px|0″ custom_padding_phone=”” transparent_background=”off” padding_mobile=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”off” custom_width_px=”1080px” custom_width_percent=”80%” global_colors_info=”{}”][et_pb_row padding_mobile=”off” column_padding_mobile=”on” admin_label=”row” _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” make_fullwidth=”off” use_custom_width=”off” width_unit=”off” custom_width_px=”1080px” custom_width_percent=”80%” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.12.1″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]
Submit dedication request
(Baby and/or child)
[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row padding_mobile=”off” column_padding_mobile=”on” admin_label=”row” _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” make_fullwidth=”off” use_custom_width=”off” width_unit=”off” custom_width_px=”1080px” custom_width_percent=”80%” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_contact_form email=”MaighreadW@thekings.asn.au” success_message=”Thanks for registering your interest! We will contact you shortly. Bless you!” admin_label=”Volunteer The King’s Chapel Youth ” module_id=”et_pb_contact_form_0″ _builder_version=”4.12.1″ custom_button=”on” button_text_size=”14px” button_text_color=”#ffffff” button_bg_color=”rgba(224,31,31,0.85)” custom_padding=”|0px||||” hover_enabled=”0″ border_radii=”on|0px|0px|0px|0px” use_border_color=”off” border_color=”#ffffff” border_width=”1px” border_style=”solid” input_border_radius=”0″ global_colors_info=”{}” button_letter_spacing_hover=”0″ sticky_enabled=”0″][et_pb_contact_field field_id=”Full_Name” field_title=”Full Name* (Please include any middle names)” _builder_version=”4.6.3″ form_field_font=”||||” border_radii=”on|0px|0px|0px|0px” use_border_color=”off” border_style=”solid” input_border_radius=”0″ global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”] [/et_pb_contact_field][et_pb_contact_field field_id=”Pronunciation” field_title=”How do you pronounce your child’s name? ” field_type=”email” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Date_of_Birth” field_title=”Child’s Date of Birth* (DD/MM/YYYY)” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Phone_Number” field_title=”Phone Number*” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Email*” field_type=”email” fullwidth_field=”on” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Mother’s_Full_Name” field_title=”Mother’s Full Name (Please include any middle names)*” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Mother’s_Occupation” field_title=”Mother’s Occupation *” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Father’s_Full_Name” field_title=”Father’s Full Name (Please include any middle names)*” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Father’s_Occupation” field_title=”Father’s Occupation *” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Address” field_title=”Address *” fullwidth_field=”on” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Gender” field_title=”Gender *” field_type=”select” select_options=”%91{%22value%22:%22Male%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Female%22,%22checked%22:0,%22dragID%22:0}%93″ _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Background” field_title=”How long have you been attending The King’s Chapel? *” _builder_version=”4.6.3″ _module_preset=”default” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Consent” field_title=”%22We have read the Dedication information on this page and would like our child to be dedicated at The King’s Chapel%22 (Please tick box in acknowledgement of statement)” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22Mother%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Father%22,%22checked%22:0,%22dragID%22:0}%93″ fullwidth_field=”on” _builder_version=”4.12.1″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]
