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To better serve you, we would like to get to know you a little more. Please fill out the following questionnaire. We will contact you within a week to discuss the ceremony and the mandatory child dedication class. This questionnaire is completely confidential.
How long have you been attending Christ Community Church?
What made you decide to dedicate your child?
Tell us a little about your family. (background, other children, etc.)
What is your marital status?
If single, are you living together with someone of the opposite sex? If so, are you willing to discuss other arrangements in order to honor God in your family?
Describe any volunteer involvement in the life of our church:
Are there any special needs we can pray for?
Are you involved in a small group? If not, would you like to be contacted about getting involved?
CHILD DEDICATION INFORMATION SHEETParents’ Names:
Phone Number: Child’s Name (First Middle Last):
girl boy
Child’s Birthday (mo/day/year/):
During the child dedication ceremony, a Bible verse is read for each child. If you have a verse of special meaning for your child, or if you would like to prayerfully choose your own verse, we encourage you to do so. If you would like the verse chosen for you, please indicate that on this form.
Please choose a Bible verse for our child:
We have chosen the following verse: Reference:
Version: Verse:
Please indicate your first and second choices of which service you would prefer to participate: Saturday 9:00 10:45