Child Dedication /// 2023

Please fill out this form and click submit.

CHILD'S INFORMATION

Name

*

Birthdate

*

Gender

*

Please select one option.

Male Female

Weight / Height (under 1 yrs old)

PARENT'S INFORMATION

Mother's Name

*

Marital Status

*

Please select one option.

Single Married Separated Divorced Remarried

How long have you been attending Journey Church?

*

Are you a commited Christ follower?

*

Please select one option.

Yes No

Phone

*

Email

*

Father's Name

*

Marital Status

*

Please select one option.

Single Married Separated Divorced Remarried

How long have you been attending Journey Church?

*

Are you a commited Christ follower?

*

Please select one option.

Yes No

DEDICATION ELEMENTS

Choose a special Bible verse to read at the dedication!

Tell us some special traits, stories, or testimonies about your child.

Please list all family members that plan to attend the dedication, so they can be recognized.

Special Notes

Please EMAIL a photo of your child to be displayed on the screens during the dedication to info@journeybc.church

Please list 3 Sunday dates that could work for you and your family:

*

Description

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