Child Dedication Application

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Thank you for your interest in child dedication here at Mill Creek! When this application form is received by our Children’s Ministries team, someone will contact you to discuss our Biblical vision for parenting, what a child dedication is, and “how” we will dedicate.

Parent's Name(s): *

Parent's Email Address: *

Parent's Phone Number: *

Child's Full Name (as desired on Certificate): *

Child's Date of Birth: *

Are parents members at Mill Creek? We require at least one parent to be a member for dedication. *

Yes, both are

Yes, one is

Required

We hold child dedications on in February, May and October each year. Please check which month you would prefer. *

May (Mother's Day, 5.11.25)

October

What service time would you prefer (we have a max of 2 dedications per service)? *

1st Service (8:45a)

2nd Service (10:30a)

Any particular Bible verse you have for your child?

Are any other siblings joining you on stage? Please provide names. *

Thank you for your interest in child dedication!

We'll be following up soon!

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