Child Dedication Application Form

Child Dedication Application Form
If you wish to have your child(ren) dedicated at MLFC, please fill in the information requested below. The deadline to submit this form will be communicated during our church service. Thank You!

If you have already attended a Pre-Dedication Class, you do not need to attend the next one. However, in order to participate in the upcoming dedication ceremony, you still need to sign up your child. If you have any questions or concerns, please do not hesitate to contact us.

Child Dedication certificates can be collected from the Child Dedication Check-In table after the service.
Child Dedication Schedule
Please select one date*

Q1: Sunday, 16 February 2025Q2: Sunday, 18 May 2025Q3: Sunday, 17 August 2025Q4: Sunday, 16 November 2025
Please select a service*

First ServiceSecond Service

Section 1: Child's Information
Child's Name*

First NameLast Name
Date of Birth*

DayMonthYear
Gender*

MaleFemale
Place of Birth (town)*

Fill out for second child (if applicable)
Child's Name

First NameLast Name
Date of Birth

DayMonthYear
Gender

MaleFemale
Place of Birth (town)

Fill out for third child (if applicable)
Child's Name

First NameLast Name
Date of Birth

DayMonthYear
Gender

MaleFemale
Place of Birth (town)

Section 2: Parent's Information
Father's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
Membership Status*

MemberNot Member
If you are not a member of MLFC, which church are you a member of?
Are you a member of a Connection Group?*

YesNo
Which Connection Group are you a member of?
Mother's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Membership Status*

MemberNot Member
If you are not a member of MLFC, which church are you a member of?
Are you a member of a Connection Group?*

YesNo
Which Connection Group are you a member of?

Section 3: Parent's Marital Status
Marital Status (Choose One)*

SingleMarriedDivorcedWidowed
Should be Empty: