Child Dedication

Blessings to you and your family as you prepare for your child’s dedication day. May this special, holy occasion bring with
God’s blessings of joy and happy memories.

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Company

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REQUESTS SHOULD BE SUBMITTED AS FAR IN ADVANCE AS POSSIBLE. Our Church Secretary will contact you for confirmation of a date, once it has been approved. For questions please call the church office at 661-943-5725

Parent information PRIMARY PARENT CONTACT person for the family.

Name*

First Last

Email*

Address

Street Address City State ZIP Code

Phone

Other Information

Child's Legal Name*

First Last

Gender*

Child's date of birth**

Please provide the name and email of the spouse*

Are either of the parents members?*

Name of pastor you would like to have dedicate your child*

What date(s) do you prefer? * Give date by month, day, year (mm/dd/yy).*

This date should be at least two weeks AFTER submitting this request.

2nd Preference*

This date should be at least two weeks AFTER submitting this request.

Service Preferred*

Please provide us with family information for the bulletin and introduction.*

Parents' professions and place of work, names of other children in the family, etc.

Please provide a photo of the family for the church bulletin.

Max. file size: 400 MB.

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Child Dedication

Parent information PRIMARY PARENT CONTACT person for the family.

Other Information

Lancaster SDA Church

Service Times

Location