Child Dedication Request

Child Dedication Request

We would like to publicly commit ourselves and our child to the Lord. Please contact us.
Your Name

First NameLast Name
Your Spouse's Name

First NameLast Name
Your E-mail
example@example.com
Your Phone Number
Format: (000) 000-0000.
What is your involvement at Ebenezer Bible Fellowship Church?

Other
Who would you like to dedicate? Please list the child's information here:
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Date
Child's Gender
When would you like to participate in the Child Dedication?

Other
Questions/Comments:
Should be Empty: