Child Dedication Form

We are a family church, and are committed to standing with you as parents in raising children to know and follow Jesus. One of the ways we demonstrate this is by dedicating children to God through prayer.  If you’d like to have your child dedicated in a service, please fill out the form below to register your child to be dedicated. 

Parent's Name(s) *
Parent's Name(s)
Phone
Phone
I'd like to have my child dedicated at this service: *