Child Dedication Form

Child's Name

Date of Birth

Child's Gender

Male Female

Please Note: Dedications are held after Sunday Morning Worship Service

Choose a Sunday Date You Would Like Your Child Dedicated

Father's Name

Mother's Name

This address will receive a confirmation email

Phone

Address

If you would like for your child's picture to be displayed on the screen during dedication, please email it to revenantworshipcenter@gmail.com three days prior to dedication date.

Description

Please complete the form in its entirety. Once complete, click submit and a member of our team will reach out to you to confirm date selected.

Child Dedication Form

Description

Please Fix the Following