Child Dedications (registration)

Registration for Child Dedication: Sunday, September 26, 2021

Mother's Name *

First

Last

Father's Name *

First

Last

* Indicates required field

Marital Status *

Email *

Phone Number *

What is the best way to reach you? *

Names and ages of the children you would like to have dedicated: *

Street Address *

Town or City *

Postal Code *

How long have you (mother) been attending Temple? *

Have you (mother) made a personal decision to follow Jesus as your Lord and Saviour? *

How long have you (father) been attending Temple? *

Have you (father) made a personal decision to follow Jesus as your Lord and Saviour? *

As we prepare to pray for you and your child(ren) during the dedication service, is there a verse from the Bible that you would like us to share? *

Submit