Pathway Bible Church Child Dedication Form
“Children are a gift from God” (Psalm 127:3)

Child dedication is truly a parent commitment service. It’s the parent’s promise to offer their child to the Lord and to dedicate themselves to rearing the child for the glory of God.

Parents cannot dedicate their child’s salvation. Each person must make the decision to have a personal relationship with Christ. When children are old enough to understand the concept of sin and the responsibility for that sin, then they are ready to make the decision to accept Christ as their personal savior and assure eternal salvation.

Parents must, however, lay a foundation through teaching and example that will help children to make that decision at the right time. The same is true of marriage. We cannot decide when or if our children will marry and we cannot guarantee them a happy marriage. But through positive example, we can lay a foundation for making good decisions when the time comes.

Dedication is not baptism. It is not a sacrament of any kind. It does not impart salvation on the child. Dedication is the parent’s commitment to God to raise the child in His ways.

Pathway Bible Church dedicates children because we read in Luke 2:22-25 that, as a baby, his parents dedicated Jesus. In Mark 10:16, we see Jesus bestowing blessings on the children. The dedication ceremony is a time to publicly make that commitment to pray for the child, love the child, and guide the child toward a personal relationship with Christ.

These requirements need to be met prior to participating in the child dedication service:
1. At least one parent must have a personal relationship with Jesus Christ.
2. Both parents are committed to training their children to respect and honor God.
3. The child's mother and father are married (except in the case of a single parent).
4. The parent(s) are regular attendees of Pathway Bible Church.
5. The parent(s) must complete Child Dedication form (below).

Date of Child Dedication Service *
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Preferred Service Time *
CHILD 1: What is the child's full name? *
As you want it shown on the dedication certificate
Your answer
CHILD 1: What is the child's date of birth? *
MM
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DD
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YYYY
CHILD 1: What is the child's gender? *
CHILD 2: What is the child's full name?
As you want it shown on the dedication certificate
Your answer
CHILD 2: What is the child's date of birth?
MM
/
DD
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YYYY
CHILD 2: What is the child's gender?
CHILD 3: What is the child's full name?
As you want it shown on the dedication certificate
Your answer
CHILD 3: What is the child's date of birth?
MM
/
DD
/
YYYY
CHILD 3: What is the child's gender?
What is the mother's first and last name? *
Write NA if not applicable
Your answer
What is the father's first and last name? *
Write NA if not applicable
Your answer
What is your address? *
Your answer
*
City
Your answer
*
Zip Code
Your answer
Contact email address *
Your answer
To whom does this email belong?
Your answer
Contact Phone *
Your answer
Marital Status *
Wedding anniversary date
MM
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DD
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YYYY
Are you regular attendees of Pathway Bible Church? *
How long have you regularly attended Pathway Bible Church? *
Your answer
Do you meet all the requirements listed above? *
Mother's Signature
Typing name below will signify signature if submitting electronically
Your answer
Father's Signature
Typing name below will signify signature if submitting electronically
Your answer
Submit
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