Child Dedication Form
Please complete the following information, which will be used to enable us to process your Child Dedication
Last Name (Child)
*
First Name (Child)
*
Child’s Date of Birth
*
Gender
*
Male
Female
Father’s Last Name (If applicable)
Father’s First Name (If applicable)
Mother’s Last Name (If applicable)
Mother’s First Name (If applicable)
Relationship to the child?
*
Street Address
*
City
*
State
*
Zip
*
Cell Phone
Do you attend Bethel Family Worship Center?
*
Yes
No
Who will be bringing the child forward during the dedication ceremony? (Please note: Only the parents/guardians will participate in the ceremony.)
Why do you desire child dedication?
*
Have you and your spouse (if applicable) accepted Jesus Christ into your lives as your Savior?
*
Your Email Address
*
Online Giving
Powered by Easy Tithe