Father’s Day Weekend - we will be dedicating children to the Lord on Saturday June 14 and Sunday June 15, 2025

Please fill out this form below and click submit by Monday, June 9th, so that we will have everything ready for the dedication of your child/children.

Child's Full Name (How you would like for it to appeaer on the Certificate

First Name

Last Name

Child's Date of Birth

Gender

Parent's Names

Which Service - Saturday Night or Sunday Morning?

Attending Family Membes Names and their Relationship to Child being Dedicated

Your email address for Pictures of your Dedication to be Sent

Your Mailing Address - For Dedication Packet to be Sent

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country