Child Dedication Form:

Child's First Name

Child's Last Name

Child's Birthdate

Email

Phone Number

Parent's First Name

Parent's Last Name

Please answer the following questions in preparation for your child's dedication - This will help us plan for your event:

Will both parents be participating in the service? Who else will be on stage with you? Please include names of everyone joining you on stage:

Please give name(s) of anyone else standing with you in the service, not on stage (i.e. godparents, grandparents, other children, etc.)

Is there any particular Bible verse(s) or theme you would like emphasized in relation to your child's dedication?

Please let us know what service you prefer:

No preference

9:00 AM

10:30 AM