Child Dedication
Registration

Fill out a separate form for each child if you’re dedicating more than one. We will contact you to complete the registration process.

Child's Full Name

Child's Gender

Child's Birthday

Child's Place of Birth

Father's Name

Have you, the Father, accepted Jesus Christ as your Lord and Saviour?

Mother's Name

Have you, the Mother, accepted Jesus Christ as your Lord and Saviour?

Marital Status

Mailing Address

City | Province

Postal Code

Phone

How long have you been attending Springs Church?

Which location would you like to dedicate your child(ren) in?

Which service would you prefer?

Child DedicationRegistration