Baby Dedication Application

We are excited about your newborn child and would be honored with the opportunity to pray with and dedicate your newborn to the Lord. Please complete this form and drop off at the church office or at the information booth in the foyer during a worship service --attention Jane

Father's First Name *

Last Name *

Mother's First Name *

Last Name *

Married *

Yes

No

Will both Mother & Father attend the Dedication? *

Yes

No

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Have you and your spouse accepted Jesus as your Lord and Savior? *

Yes

No

Child's Name (Last, First, Middle) *

Date of Birth *

Gender *

Male

Female

Place of Birth (Hospital Name or Home) *

City *

Is there significance to the name you selected for your child?

Is there anything special about this pregnancy and delivery that reveals God's goodness and faithfulness that you can share?

What are your hopes and dreams for your baby's future?

Do you attend Family Worship Center? *

Yes

No

If you do not attend Family Worship Center, we would be honored to dedicate and pray a blessing over your newborn child in a private dedication service at Family Worship Center.

If yes, how long have you been attending?

If yes, what service do you attend?

Sat 6 pm

9:00 am

11:00 am

Have you attended a First Step Welcome Dinner?

Yes

No

After filling out the application one must attend the parenting group sessions the Thursday before the dedication. Baby dedications are scheduled on the second weekend of each month.