CHILD DEDICATION FORM

CHILD DEDICATION FORM
To assist you in preparation for the child dedication service, we request that you answer the following questions.
FAMILY INFORMATION
Child's Full Given Names*
Date of Birth*
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Is this your first child dedication at Spruce Grove Alliance Church?

YesNo
Do you have a pastor whom you would like to perform the dedication?

YesNo
If yes, who? (If your preferred pastor is not available, another pastor will be recommended)
Which service would you like to have your child dedicated at?

9:1511:15Either Service
TELL US ABOUT YOUR FAMILY
Why do you desire to present your child for Child Dedication?

Have you as a parent committed your life to Jesus Christ & trusted Him for salvation?

	Yes	No
Father
Mother

What does it mean to you as a parent to be a godly influence in the life of your child and/or to lead your child in the way of Jesus Christ?
How long have you been attending Spruce Grove Alliance Church?

Less than 1 year1 to 2 years2 to 5 yearsMore than 5 years
Where have you connected at SGAC? (Growth Groups, SGAC Kids Ministries, etc.)
CHILD DEDICATION VOWS

Below are the dedication vows you will be asked to take before God & in the presence of witnesses.

Will you bring up your child in the knowledge & love of God, teaching him/her the truths and duties of the Christian faith? I will, with the help of God.

	Yes	No
Father
Mother

Will you make a Christian home for him/her, so fashioning your lives that your child may come to know Jesus Christ as Lord & Saviour? I will, with the help of God.

	Yes	No
Father
Mother

Will you encourage your child to seek believer's baptism when he/she reaches an age of understanding? I will, with the help of God.

	Yes	No
Father
Mother

Will you enter into a life of prayer on your child's behalf, so fashioning your lives to honour Jesus Christ that he/she may know the Lord's goodness through your godly example? I will, with the help of God.

	Yes	No
Father
Mother

Thank you for your interest in Child Dedication. A pastor will connect with you soon to discuss next steps. If you have any further questions, don't hesitate to call the church office.
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CHILD DEDICATION FORM

FAMILY INFORMATION

TELL US ABOUT YOUR FAMILY

CHILD DEDICATION VOWS