Child Dedication Request

Child Dedication Request
Please complete this form for each child you'd like to have dedicated.
Parent's Name*

First NameLast Name
Parent's Name

First NameLast Name
Parent's Phone Number*
Please enter a valid phone number.
Parent's Email Address*
example@example.com
Which campus would you like your child dedicated at?

Moss Park Campus (11221 John Wycliffe Blvd)Narcoossee Campus (255 S Narcoossee Rd)
Child's Name*

First NameMiddle NameLast Name
Child's Age*
Please upload a current horizontal image of your child. *

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The following statements are commitments made by you & our church family. A member of our staff will discuss these with you during your Child Dedication Interview.
- I/We will regularly pray for our child.
- I/We will teach them about God’s redeeming love through Jesus.
- I/We will create a home environment that embraces grace and is established in the truth of God’s Word.
- I/We will be an active participant in the Nona Church family.
- I/We will continue to grow personally, relationally, and spiritually.
- I/We will, by the grace of God, be a positive example of a follower of Jesus.
I have read the statements above.
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