Child Dedication Application Form

Complete this Form and we will contact you to confirm arrangements and provide date options.

Note that we need to receive this form, and photo of your child, at least two weeks before any announced Child Dedication date, to allow us to process your request and include your child in the dedication service.

Full Name of Child who will be dedicated *

Date of Birth of Child who will be dedicated *

Mother's First Name *

Mother's Last Name *

Mother's Mobile Number *

Mother's Email Address *

Father's First Name

Father's Last Name

Father's Mobile Number

Father's Email Address

Does at least one parent attend Berwick Church of Christ? *

Yes

Please choose which service you would prefer to have your child dedicated at. (Note: we may not be able to accommodate all preferences.) *

9am

11am

No preference (either is suitable/not yet sure)

Please ensure you upload a photo of the baby or child being dedicated, which will be displayed on a powerpoint in the service during the dedication.

Click here to upload the child's photo into our secure dropbox.

We will be in contact with you during the week.