Would you like to dedicate your child to the Lord?

Please complete the form below and someone will contact you shortly.


As you want it to appear on the dedication certificate.
As you want it to appear on the dedication certificate.
Child's Date of Birth
Child's Date of Birth
Which service do you prefer?
Have you accepted Jesus Christ as your Lord and Savior?
Are you willing to:
Check if 'Yes'
Do you recognize that you need God's help in raising your child?
Is it your desire to dedicate your child to God for His purpose and blessing for your child's life?
Is it your desire to dedicate yourself to God to fulfill your responsibilities as a parent?
Is it your desire to have the VBCC church membership join with you in the spiritual teaching and training of your child?
We understand that submitting this application does not mean that it is approved. We understand that we will be notified as soon as this application is reviewed. Please be aware that an orientation will be provided the Sunday prior to the dedication service.
You will be asked to read this at the dedication. (Specify which version of the Bible please.)
Phone Number *
Phone Number
Date
Date