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DEDICATION OF BABIES
application form
Father's Name
Father's Address
Father's Telephone
Father's Email
Mother's Name
Mother's Address
Mother's Telephone
Mother's Email
If you are not the parent, state what relation you are to the Child? Guardian, Uncle, Aunt, Grandparent.
Give your full name, address and telephone #.
Who will be presenting the child for dedication?
When do you plan to dedicate the child?
Do you understand that dedication does not mean baptism?
Will you as the parent or Guardian seek to live in accordance with God’s Word, and to establish a family-altar to guide the child into the paths of righteousness and the fear of God?
Will you set a good example before the child of what it means to be an active member of a true Bible-Believing Church?
Of what Church are you a member?
Do you plan to bring up the child in this faith?
Child's Place of birth
Are you saved?
Write clearly the child’s full name
Child's Birth Certificate Entry#
Are you married?
Child's Date of Birth
Gender
Dated:
Thank you for submitting your application
We will contact you shortly
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