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
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?
Do you attend Bethel Family Worship Center?
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
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