Life Renewal Charismatic Church - Baby Dedication (For Lrcc Church Members)

BABY DEDICATION REQUEST FORM

(For Church Members)

Purpose:
This form is for parents who are LRCC Ministries members and are requesting a Baby Dedication. Completion of this form does not guarantee approval. All requests are subject to review and a meeting with the Church Board.

SECTION A: GENERAL INFORMATION

Date of Application:

Name of Baby:

Birthdate

Gender:

Male

Female

Preferred Baby Dedication Date:

SECTION B: PARENTS / GUARDIANS INFORMATION

Mother's Full Name:

Phone Number

Email

Father's Full Name:

Phone Number

Email Address:

Home Address:

Apartment, suite, etc.

City

State

Zip/Postal Code

If of African descent, please answer the following: •Do you have the support of your families (parents, siblings, extended family) regarding this baby dedication?

Yes

No

Partially

•Please explain briefly:

SECTION D: MARITAL STATUS OF PARENTS OF THE CHILD

Other (please specify):

SECTION E: FUTURE PLANS AS A COUPLE / FAMILY

Please briefly describe your future plans as a couple/family, particularly regarding: •Marriage (if applicable) •Spiritual growth •Raising your child in a Christian environment

SECTION F: CHURCH AFFILIATION

Do you currently belong to a church?

Yes

No

If YES: •Name of Church:

•Church Location (City/Country):

•Why are you not having the baby dedication ceremony at your home church?

SECTION G: ACKNOWLEDGEMENT & NEXT STEPS

Please read and acknowledge the following:

We understand that:

Submission of this form does not automatically approve the baby dedication.
Under certain circumstances, the LRCC Church Board may request a meeting with parent(s) or guardian(s) prior to confirming a dedication date.
A dedication date will only be approved after the Board meeting and final decision.

Preferred availability for Board meeting (days/times):

SECTION H: SIGNATURES

Parent/Guardian 1 Signature:

Date:

Parent/Guardian 2 Signature:

Date:

BABY DEDICATION REQUEST FORM

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