Child Dedication

If you are interested in signing up for our next Child Dedication service, please fill out this quick form and we will be in touch. If you have further questions you may email Andrea Sawtelle, Next Generations Pastor at andrea.sawtelle@lansnaz.com. Thank you!

Your name *

Email address *

Phone number *

Address *

Child/Family Information for Certificate

Child's full name *

Child's date of birth *

Mother's name

First & Last please

Father's name

First & Last please

Questions

Why do you want your child dedicated? *

Things to think about for parents:

Check all that Apply

We/I (parent) have a personal relationship with Jesus Christ.

We/I are in agreement with the basics of what the Immanuel Church believes.

We/I plan to be regular attenders of Immanuel Church worship services.

We are two parents who are living together and are not married. We are willing to learn more about steps to acknowledge and surrender to God’s plan for our relationship before participating in a child dedication service.

Service Details

Which service do you prefer? (Select all that work for you) *

1st - 8:30am (note: this service is not recorded)

2nd - 10am (note: this service is recorded and can be viewed live and on demand)

3rd - 11:30am (note: this service is not recorded)

Upload Child's Photo *

This photo will be used on the slide to be shown in service while your child is being dedicated.

No file currently selected

Choose 1 file. Maximum file size 10 MB.

Would you like a particular verse/passage to be read?

If yes, would you like a pastor or a parent/relative to read this?

Would you like reserved seats for extended family? How many? *

min: 0 / max: 30