Child Dedication Form • Impact Church

Matthew 19:14

“Let the children come to Me. Don’t stop them! For the Kingdom of Heaven belongs to those who are like these children.”

Full Name of Parent(s) *

Phone Number *

Email Address *

Name of Child(ren) being dedicated *

Can you please provide 3 preferred Sunday mornings for your child's dedication ceremony

1st Option

2nd Option

3rd Option

Can you share any special reason you've chosen your child's name?

Are there any special Bible verses you would like to include?