Language
English (US)
Chinese
Español
Haitian Creole
Português
Italiano
Filipino
Child Dedication Form
It is our desire at Highland Church for the parents of each child being dedicated to the Lord to have a Biblical understanding of what "Child Dedication" signifies. With this as our goal, we would like you to help us by answering a few brief questions that will be used to assist in preparing you and your child for dedication.
Child's Full Name
First Name
Middle Name
Last Name
Suffix
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Child's Gender
*
Male
Female
Child's Birthplace Information
*
Mother's Full Name
Prefix
First Name
Middle Name
Last Name
Suffix
Father's Full Name
Prefix
First Name
Middle Name
Last Name
Suffix
Guardian's Full Name
Prefix
First Name
Middle Name
Last Name
Suffix
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
*
Have you accepted Jesus Christ as your personal Savior?
*
YES
NO
If you have, how long have you been saved?
How long have you been attending Highland Church?
*
Submit
Should be Empty: