Child Dedication Request Form

We celebrate child dedications as part of our Sunday morning Worship Services several times throughout the year. This is a special opportunity for parents to publicly dedicate their child back to the Lord while dedicating themselves to raise their son or daughter according to biblical standards.

If you would like to have your son or daughter dedicated, please sign up below. We will contact you as we begin planning our next service.

For security reasons, the 'DATABASE Web Form' block can only be shown on a page that uses SSL security (https).

This form is not available.


Payment Summary

Based on your selections, there is no payment due at this time.

Please click the 'Process' button to complete your submission.


This form allows partial payment with a minimum of .

Amount to pay: $
Remaining Balance:

Credit Card/Name - Payment Method

* Indicates a required field

Your transaction was successful
Submission ID: JIM
Confirmation code: JIM
Select family members to auto add to form:
Jim Smith
Jim Smith