Parent & Child Dedication Form

Dedication Information

Spiritual Information

Since it is your desire to dedicate your child to the Lord, and to commit to raising him/her according to Scripture, please tell us about your relationship with Jesus Christ, both past and present.

We require that families dedicating their children at Century for the first time attend our Parent & Child Dedication Seminar.

By submitting this form you are agreeing to attend the next seminar. If you cannot attend the seminar please contact Becky in the office to make other arrangements.

After submitting this form online please e-mail a photograph of your child to

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