Child Dedication Request Form

  • We are so excited that you are pursuing Child Dedication at The Orchard! Child dedication is for children whose parent(s) are members of The Orchard.

    Please fill out the following form and click "Submit" once it is completed. Note that this is not a save-able form (your responses will be lost if you navigate away from this page) and should take about 30 minutes to complete. We suggest you read through the form first, write your responses and then copy-paste them in the appropriate boxes.

    If you have any questions, please contact:
    Arlington Heights: Heather Safford, 224.764.4026
    Barrington: Linda Weaks, 847.852.2206
    Chicago: Lili Tinaglia, 224.388.1275
    Itasca: Lauren Zaubi, 630.773.1883
    Marengo: Rachel Kouris, 815.568.6076
    Northfield: Katy Domsten, 847.531.9616

  • Date Format: MM slash DD slash YYYY
  • We have carefully considered the Child Dedication Commitment and desire to be a part of the ceremony. By doing so, we are stating that:

  • This field is for validation purposes and should be left unchanged.