Thanks for your desire to be part of our next Family Dedication at Bethel.  Family Dedications are an opportunity for us as a church to pray for your child and you and to ask God to bless you.  Be sure to invite your friends & family to be part of the Family Dedication service, so they can witness this step your family is taking!

Please complete the form below and submit it online. The church office will contact you to confirm.

 

Child 1 Name *
First Name
Middle
Last Name
Child 1 Date of Birth*
Child 1 Gender *
Child 2 Name
First Name
Middle
Last Name
Child 2 Date of Birth
Child 2 Gender
Child 3 Name
First Name
Middle
Last Name
Child 3 Date of Birth
Child 3 Gender
Child 4 Name
First Name
Middle
Last Name
Child 4 Date of Birth
Child 4 Gender
Child 5 Name
First Name
Middle
Last Name
Child 5 Date of Birth
Child 5 Gender
Date Submitted*
Parent(s) or Guardian(s) *
First Name
Middle
Last Name
First Name
Middle
Last Name
Address
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Home Phone
Alternate Phone
Email
In which service would you prefer to have your dedication?
Second preference: