Family Day (Baby Dedication)

Family Day at Life Church is where families can dedicate their children to Lord during our Sunday morning worship service. If you wish to have your child dedicated, please complete this form, and Jean Carlen will contact you with further details.

Dates:

February 7, 2010
May 2, 2010

* denotes required information

Father's Name: *
Mother's Name: *
Child's Name: *
Child's Birth Date: *
Child's Birth Weight: *
Child's Gender: *
How many siblings does the child have?:
Grandparent #1:
Grandparent #2:
Grandparent #3:
Grandparent #4:
Applicant's Email:
How long has your family attended Life Church?:

Family Day (Baby Dedication)

Dates:

Father's Name:

Mother's Name:

Child's Name:

Child's Birth Date:

Child's Birth Weight:

Child's Gender:

How many siblings does the child have?:

Grandparent #1:

Grandparent #2:

Grandparent #3:

Grandparent #4:

Applicant's Email:

How long has your family attended Life Church?: