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Baby Dedication Application

Parents

Name:	(as you want it on the certificate)
Phone:	(xxx-xxx-xxxx)
Address:
Zip:	(xxxxx-xxxx)

Baby

Name:	(as you want it on the certificate)
Date of Birth:	(mm/dd/yyyy)

Indicate the service you prefer for the Dedication: 9:00 10:30 No Preference

Preliminary Questions:


How long have you attended the Chapel?
Have you accepted Jesus Christ as your Lord and Savior?	Yes No
Do you recognize that your child is a gift from God?	Yes No
Do you recognize that you need God's help in raising your child?	Yes No
Are you willing to:
Raise your child in ways of the Lord?	Yes No
Pray for your child regularly?	Yes No
Seek at an early age to bring your child to a saving trust in Christ as Savior?	Yes No
Is it your desire to dedicate your child to God for His purpose and blessing for your child's life?	Yes No
Is it your desire to dedicate yourself to God to fulfill your responsibilities as a parent?	Yes No
Would you like to talk to one of the pastors before proceeding any further?	Yes No

Comments or Questions:

We understand that submitting this application does not mean that it is approved.
We understand that we will be notified as soon as this application is reviewed.

Additional information may also be received from the chapel office at 428-1881