Child Dedication Sign Up

The Child Dedication Service provides an opportunity for you to publicly declare that you will raise your child(ren) in a way that is honoring to the Lord. It also helps encourage others to pray for and support you in your parenting efforts.

Please provide the name of the child's parent/guardian completing this form.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Please list names of additional parent/guardian of the child.

Please list the full name (first, middle and last) and birthdate of your child(ren) to be dedicated at the service.

Child's Name

*

Birthdate

*

Child's Name

Birthdate

Child's Name

Birthdate

Child's Name

Birthdate

I plan to attend the next Child Dedication Service

*

Yes No

Description

Thank you for your desire to participate in the Child Dedication Service at Westside. Please submit the info below to sign up!