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Child Dedication Form

This baby dedication is not a water baptism but a ceremony in which believing parents and families make a commitment before the Lord to raise the child according to God's Word and God's way. The ceremony will take place during the 10:00 am service unless otherwise determined.

Your name *

Last name

Email address *

Today's Date *

First Name *

Last Name *

Phone number

Phone type

Multiple children will be dedicated *

YES

NO

Infant/Child Information

First Name *

Middle Name *

Last Name *

Gender

Male

Female

Date of Birth *

Your relationship to child

First Name

Middle Name

Last Name

Gender

Male

Female

Date of Birth

Your relationship to child

First Name

Middle Name

Last Name

Date of Birth

Gender

Male

Female

Your relationship to child

Mother/Guardian Information

First Name

Last Name

Phone number

Phone type

Mother/Guardian Email

Mother/Guardian Active Member of Rhema Int'l. Ministries?

YES

NO

Father/Guardian Information

Father/Guardian Information

Father/Guardian Active Member of Rhema Int'l Ministries?

YES

NO

A copy of your responses will be sent to your email address.

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Rhema International Ministries
admin.rim@freshrhema.org
2294349673

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