Child Dedication

1 Samuel 1:11
“…if you will indeed look on the affliction of your servant and remember me and not forget your servant, but will give your servant a son, then I will give him to the Lord all the days of his life…”

Please complete this application and submit it to Children’s Ministries no later than one month prior to your preferred dedication date to ensure that date is available.

Your name *

Last name

Email address *

Relationship to Child *

Mother

Father

Other

Phone number *

Phone type

Address *

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Other Guardian's Information

Name

First, Last

Relationship to Child

Mother

Father

Other

Phone Number

Child's Information

Child's Name *

First, Middle, Last

Dedication

Do you have any other children? *

Yes

Would you like any other adults on stage with you? *

Yes

Do you know the meaning of your child's name? *

Is there any special scripture, prayer, or story surrounding your child's birth you would like to share or have the pastor dedicating share? *

Do you have a life verse for your child? *

Do you want a specific pastor to dedicate your child? *

Please list the name(s) of anyone beside the pastor dedicating who you would like to pray over your child:

Are there any other details you want shared during the dedication?

Dedications are held on the 2nd Sunday of the month. Requested Dedication Date: *

Photo of Child

The photo will be projected on a slide during the dedication and included on the dedication certificate. Please upload a photo of your child below OR email a photo of your child to kids@thebridgersm.com no less than 3 weeks prior to your dedication date.

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Choose 1 file. Maximum file size 10 MB.

The Bridge
info@thebridgersm.com
949.713.4013

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