Baby Dedication Request Form

Dad

First Name

Last Name

Email

Phone Number

Can you please share briefly your testimony of how you came to faith in Jesus Christ?

Is Living Springs your home church?

Yes

No

Have you been baptized after coming to faith in Jesus?

Yes

No

Mom

First Name

Last Name

Email

Phone Number

Can you please share briefly your testimony of how you came to faith in Jesus Christ?

Is Living Springs your home church?

Yes

No

Have you been baptized after coming to faith in Jesus?

Yes

No

Baby

First Name & Middle Name

Last Name

Gender

Male

Female

Birthdate

Were there any special circumstances surrounding the pregnancy or birth?

Couple

Are you married?

Yes

No

How long have you been married?

Do you have any other children? If so, tell us about them.

Why do you want to dedicate your child?

What do you believe is the purpose of a child dedication?

Are you committed as parents to train your child up in the discipline and instruction of the Lord, recognizing your role as a steward of this child before the Lord?

Yes

No

Not sure

A baby dedication is an exciting occasion that demonstrates strong faith and commitment to the Lord on the part of the parents! We look forward to discussing this with you in the coming days. A pastor or elder will reach out to you within the next two weeks after your application is reviewed.