Child Dedications (registration)

Registration for Child Dedication

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, please help us by sharing with us what some of your greatest prayers and dreams are for your child(ren) *

Submit