Child Dedication Form

Child Dedication Form
Do you attend online or in person?

In PersonOnline
Child's Information
Full Name*

First Name Middle Name Last Name
Birth Date*

Month Day Year
Gender*

FemaleMale
Parent's Information
Marital Status*

SingleMarriedWidowedDivorced
Mother's Name*

First Name Last Name
Mother's Mobile Phone*
Mother's E-mail*
example@example.com
Father's Name*

First Name Last Name
Father's Mobile Phone
Father's E-mail
example@example.com
Address*

Street Address Apt. #
City, State*

City State / Province
Zip Code*
Have you accepted Jesus Christ as your Personal Savior? *

YesNo
Have you been baptized? *

YesNo
How long have you been attending LTF?*
Should be Empty: