Child Dedication

If you would like to participate in a public dedication of your child to the Lord, please fill out the form below. All dedications take place during our Sunday evening Worship Services.

Please complete the information below

Parent 1 Name

First Name

Last Name

Parent 2 Name

First Name

Last Name

Email Address

Phone Number

Children

Child 1 Name

First Name

Last Name

Child 1 Age

Child 2 Name

First Name

Last Name

Child 2 Age

Child 3 Name

First Name

Last Name

Child 3 Age

Child 4 Name

First Name

Last Name

Child 4 Age

Date Preference

When would you like to schedule your Child Dedication? We will try our best to accommodate your preference.

MM

DD

YYYY