Child dedication request

“We will take our son and present him before the LORD…so they brought their little boy to the house of the LORD… they declared, We now give our son to the LORD. For his whole life we now dedicate him to the LORD…and they worshipped the LORD in doing so.” 1 Samuel 1:22-28

Child Dedication Request Form

First Name

Last Name

Phone Number

Child's Full Name

Child's Gender

Child's Birthdate

First Requested Dedication Date

Second Requested Dedication Date

*Please Note: We will try to accommodate your requested dates. Once you submit this form, we will take a look at our calendar as a team and get back to you!

Some Helpful Information

As we prepare for your child's dedication, please provide us with some information to help us make this a special day for your family!

Where was your child born?

Birth Weight & Length

Does your child's name have a special meaning?

Any fun facts about your child or their birth story!

Our team will put together a special dedication video for your family.
We will reach out to you about receiving photos and videos for that day!

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Child dedication request

Child Dedication Request Form

Some Helpful Information

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Contact Info