Child Dedication Form

Child Dedication Form

If you have any questions, please call the church office (610-395-4731 x11) or e-mail .

Child's Full Name Sex

Date of Birth Place of Birth

Father's Full Name (first, middle, last)

Mother's Full Name (first, middle, maiden, last)

Are you members of Faith Church? Yes No

If not members, please give a brief description of your church background and your relationship with the Lord

If you have had other children dedicated at Faith Church, what are their names?

Parents' Address
Street
City State Zip
Telephone E-Mail Address (required)

Date of Dedication

Please indicate which service you prefer: 9:00 10:45