Child Dedication Form

Phone number

What is your Spouse's name?

Child's name *

First, middle, and last name

Child's age *

Would you like to dedicate other children at this time?

Verse for your Child (children)

Is there a particular verse you find meaningful for your child/children?

Prayer for your Child (children)

Is there a particular prayer you find meaningful for your child/children?

Photo Request

Please email a photo of your child (or children) to jason@confluence.church by the Wednesday before the dedication day. This allows us to create the media items that go along with the dedication. Thank you!