Child Dedication — Lakeshore City Church

Child Dedication Form

* If you are dedicating multiple children, please fill out a form for each child.

Name of Child Being Dedicated

First Name

Last Name

Parent/Guardian Name (Father)

First Name

Last Name

Parent/Guardian Name (Mother)

First Name

Last Name

Email (Father)

Email (Mother)

Phone (Father)

(###)

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Phone (Mother)

(###)

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Are You a Member of Lakeshore?

How Long Have You Been Attending Lakeshore?

Reason You Would Like To Dedicate Your Child

Scripture To Be Used For Dedication

Include Scripture Verse and Numbers

Have you taken the child dedication class at Lakeshore?

Prerequisite: If you have not taken the class, you will be required to attend a class before the dedication

Please email a picture of your child which will be used for the dedication ceremony to office@lakeshorecitychurch.com