South Hills Burbank | Child Dedication
The purpose of this form is to sign up for South Hills Burbank's Child Dedication on Saturday 2/16 and Sunday 2/17.

A child dedication is a public commitment you make before God, your church, and your family. A public commitment of your desire to lead and spiritually nurture your child with God as the focal point in their lives. This basically means that a child dedication is more for the parent(s) than it is for the child. It's you wanting to raise your child on the path of God's love, and your family and friends supporting you in that declaration.

Normally, child dedications are for children 0-7 years old. For children older than that, you may want to begin to consider baptism in water as a next step. For any additional information, please e-mail derycka@southhills.org

How many children are being dedicated? *
Child #1 First Name *
Your answer
Child #1 Last Name *
Your answer
Child #1 Birthdate *
mm/dd/yyyy
Your answer
Child #2 First Name
If applicable
Your answer
Child #2 Last Name
If applicable
Your answer
Child #2 Birthdate
mm/dd/yyyy (if applicable)
Your answer
Child #3 First Name
If applicable
Your answer
Child #3 Last Name
If applicable
Your answer
Child #3 Birthdate
mm/dd/yyyy (If applicable)
Your answer
Child #4 First Name
If applicable
Your answer
Child #4 Last Name
If applicable
Your answer
Child #4 Birthdate
mm/dd/yyyy (If applicable)
Your answer
Parent/Guardian Information
Parent/Guardian #1 First Name *
Your answer
Parent/Guardian #1 Last Name *
Your answer
Parent/Guardian #2 First Name
If applicable
Your answer
Parent/Guardian #2 Last Name
If applicable
Your answer
Best E-mail address for communication *
Your answer
Choosing your service
At South Hills, we want to do whatever we can to accommodate families by allowing you to choose a service in which you would like to get your child dedicated.
Which service would you like your child dedicated in? *
The Day of the Dedication
Who would like to be on stage during the dedication? *
How many family members will be attending service to watch? *
Submit
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