Child Dedication Form

Your name *

Email address *

Phone number *

Child Dedications at NewLife Church *

Proverbs 22:6 "Train up a child in the way he should go, even when he is old he will not depart from it."

This really is a special moment for you and your family and is a mile marker you should look forward to. It will be a moment mixed with seriousness and celebration. There is a brief exchange between you and the pastor during this moment as you promise to raise your child knowing Christ. Don’t worry, there is no long public speaking required on your part.

Child Dedication Requirements *

Parent(s) of the child being dedicated must fill out the child dedication application completely and turn it in by the next due date.

Examples of Baby Dedications
Jesus- (Luke 2:22,CEV) and Hannah dedicating Samuel- (1 Sam.1:11,NLT)

Biblical Passages To Review
Deuteronomy 6:4-9, Deuteronomy 12:28, 1 Samuel 1:27-28, Psalms 127:3-5, Proverbs 20:7, Proverbs 22:6, Mark 10:13-16.

I have read these Scriptures. *

How long have you been attending New Life Church? *

Have you and your spouse (if applicable) accepted Jesus Christ into your lives as your Savior? Please give the dates . *

Child's Name *

(first, middle, last)

Mother's Name

(As you would want it to appear in the certificate)

Father's Name

(As you would want it to appear in the certificate)

Child's Date of Birth

What is your relationship with the child? *

As a parent I understand that I am making the following commitments: *

I understand that as a part of this child dedication service I will stand before family, friends and God promising to raise my child in a Godly, Christ centered environment. This is my commitment as a parent to raise my child in a way that helps point them towards knowing God personally through a relationship with Jesus Christ. I will take the steps necessary to prioritize this in my family and will personally model a lifestyle that is reflective of a relationship with Christ before my child.

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