Parent & Child Dedication Request

Parent & 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*

Area CodePhone Number
What is your involvement at Ebenezer Bible Fellowship Church?*

MemberRegular AttendeeOther
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*

MaleFemale
When would you like to participate in the Parent & Child Dedication?*

Sunday, December 29, 2024, 8:30am serviceSunday, December 29, 2024, 11:15am serviceOther
Questions/Comments:
Should be Empty: