Child Dedication

If you are interested in dedicating your child, please fill out this form and one of our staff members will contact you to schedule your special day.

Your name *

Email address *

Phone Number

Primary Campus

Service Time

Staff Member

Your Site Pastor oversees this ministry area and will be in touch to arrange the date and details for the child dedication. Your site's Central Kids staff member is sometimes involved, as well. To help us plan for this special occasion, is there a specific staff member you’d like to be involved in the dedication (if possible)?

Dedication Info

First and Last Name(s) of parent(s)? *

First, Middle and Last Name of child(ren) being dedicated? *

Proposed date(s) for dedication?

Please suggest a few upcoming dates that could work well for your family.

Photos

We like to have a slide on the projector screens during the dedication event. Please upload a photo of the child(ren) being dedicated as well as a family photo.

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Add up to 5 files. Maximum file size 10 MB.

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