At EBC we care about your family. We believe that God has promised salvation for you and your household. We believe in the important of dedicating our children to God. This ceremony is not a means of salvation, but an act of committing our children to God. It's also an act of committing ourselves as parents and pastors to help lead our children into a personal relationship with Jesus Christ.
Contact Information:
Parents Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email of Father/Guardian
example@example.com
Phone Number of Father/Guardian
Please enter a valid phone number.
Email of Mother/Guardian
example@example.com
Phone Number of Mother/Guardian
Please enter a valid phone number.
Members/Adherents of EBC
*
Yes
No
If "No", please list the name of your home church and name of Pastor
Phone Number of Home Church
Please enter a valid phone number.
Back
Next
Dedication Information:
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Full Name of Child
*
First Name
Middle Name
Last Name
Requested Date for Dedication
-
Month
-
Day
Year
Date
Denominational Background of Parents
Are you seeking to use EBC for the dedication?
*
Yes
No
If "No", please specify.
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform