Family Dedication Application
Please complete the following information, which will be used to facilitate your family dedication and issue a certificate. Please fill in a form for each child to be dedicated. We look forward to joining with you in the dedication of your family.
Email *
Child's Full Name *
Date of Birth *
Child's Gender *
Mother's Name *
Father's Name *
Have you chosen to follow Jesus by accepting Him as your personal Lord and Savior? *
Are you regular attenders of ECB? *
How long have you attended ECB?
Have you followed Jesus in Christian baptism?
What is your marital status? *
Any additional comments or questions
A copy of your responses will be emailed to the address you provided.
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