Crossroads Bible Church Child Dedication
Please complete this form. We schedule the next dedication date as soon as we receive enough requests.
Your name: *
Your answer
Your spouse's name (if applicable):
Your answer
Your address (street, city, zip): *
Your answer
Your primary phone number: *
Your answer
Your email: *
Your answer
Please list Full name[s] of your child/children being dedicated along with birthday [month/day/year]. *
Your answer
Which service(s) would you prefer for your child(ren)'s dedication?
We do our best to accommodate requests, but please note that you may not receive your preference.
Verse you are claiming for this child:
Your answer
Dad, please tell us about your personal walk with Jesus Christ.
Your answer
Mom, please tell us about your personal walk with Jesus Christ.
Your answer
Parents, please share with us about your vision to raise this child to be a dynamic follower of Jesus.
Your answer
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