Child Dedication Form • Revenant Worship Center

Child Dedication Form

Please complete the form in its entirety. Once complete, click submit and a member of our team will reach out to you to confirm date selected.

Child's First Name *

Child's Middle Name *

Child's Last Name *

Date of Birth *

Gender *

Please Note: Dedications are held after Sunday Morning Worship Service

Choose a Sunday Date You Would Like Your Child Dedicated *

Father's First & Last Name

Mother's First & Last Name

Address *

City, State & Zip Code *

Email Address *

Phone Number *

If you would like for your child's picture to be displayed on the screen during dedication, please email it to revenantworshipcenter@gmail.com three days prior to dedication date.