Child Dedication Form - Philadelphiaec

Child Dedication

Date

Child

First

Last

Layout

DOB *

Place of Birth (City/State)

Mother

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Church

Member
Non Member

Father

First

Last

Church

Member
Non Member

Address: If different From above

Address Line 1

Address Line 2

City

State

Zip Code

Preference

1st Sunday 8:00 AM
2ndSunday: 12:00 PM
3rd Sunday 8:00 AM
4th Sunday 12:00 PM

Date of Dedication

Completed By

Presented By

Psalm 119:105

Your word is a lamp for my feet, a light on my path

The Lord is my shepherd; I shall not want.
Psalm 23:1

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