Congratulations on your desire to dedicate your child to the Lord! Our church is eager to assist you in this important matter.
Once your application is received in the office, the church Secretary will call you to confirm receipt of your application.
During the morning worship service, an area will be reserved for each family having a baby dedicated. At the appropriate time in the worship service, Apostle Lyons will invite parents, grandparents, godparents and the child being dedicated to come to the front of the sanctuary to begin the Baby Dedication Ceremony. At the conclusion of the ceremony, a Certificate of Dedication will be provided to the parents.
Child’s Information
Child’s Full Name*
Gender*
—Please choose an option—MaleFemale
Date of Birth (mm/dd/yyyy)*
Hospital where child was born*
Requested Month of Dedication (First Choice)*
—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
Requested Month of Dedication (Second Choice)*
Parent’s Information
Mother’s Full Name*
Father’s Full Name*
Full Address (Please include City, State and Zip)*
Home Phone (###-###-####)*
Mother's Work Phone (###-###-####)
Mother's Cell Phone (###-###-####)
Father's Work Phone (###-###-####)
Father's Cell Phone (###-###-####)
Email Address*
Are one or both parents born again Christians?*
—Please choose an option—YesNoStill ConsideringUnsure What This Means
Are one or both parents members of New Life Fellowship?*
—Please choose an option—Yes, Completed CDCNo
Due to the spiritual nature of the questions asked during the Baby Dedication Ceremony, it is helpful for the Pastor to understand the marital and living situation of both parents. Which of the following best describes the parents’ marital and living situation?*
—Please choose an option—Married and living togetherNever married and living togetherNever married and not living togetherDivorcedSeparatedOther
If Other Please Explain
Godparents’s Information
Godmother's Name
Godfather's Name
Who will participate in the Baby Dedication Ceremony? (Check All That Apply)
MotherFatherGodparent(s)
Comments
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