By completing this form, I give permission for my data to be processed for the volunteer's database and agree that Victory Dumaguete may process personal data relating to me for personnel, administrative and/or educational purposes, make such data available as required by law.

Child's Personal Information

Child's First Name *

Child's Last Name *

Child's Birthdate

Gender *

Father's Personal Information

Father's First Name *

Father's Last Name *

Father's Contact Number *

Done With Victory Weekend *

Yes

No

Discipleship Leader

* The person who did ONE 2 ONE with you or your Victory group leader.

Mother's Personal Information

Mother's First Name *

Mother's Last Name *

Contact Number *

Done with Victory Weekend? *

Yes

No

Full Name of Discipleship Leader

*The person who did ONE 2 ONE with you or your Victory group leader.

Date of Dedication *

Time of Dedication *

Venue *

Available date for interview *

Available time for interview *

Note: Please avoid scheduling on Mondays and during our Sunday Worship Services [10AM, 3PM, and 5PM].