LWM Child Dedication

Father's First Name
Father's Last Name
Mother's First Name
Mother's Last Name
Address 1
Address 2
City
State
Zip Code
Daytime phone where you can be reached
E-mail

  • Have both parents attended our Membership Class and are active members of Living Word Ministries? (Click here to see the six requirements for membership)

    Yes No

  • Has the Father received salvation?

    Yes No

  • Has the Mother received salvation?

    Yes No

  • Do you as parents agree to train up your child in accordance with the Word of God?

    Yes No

  • Do you as parents agree to lead your child into salvation by helping them seek a personal relationship with Jesus Christ accepting Him as their only Lord and Savior and henceforth training your child to yield themselves spirit, soul and body in service and submission to the plan, purpose and will of God for the rest of his/her life?

    Yes No

Child's First Name
Child's Middle Name
Child's Last Name
Gender
  • Male
  • Female
Date of Birth
(mm/dd/yyyy)
Date of Dedication
(mm/dd/yyyy)

Who will be present on the altar to dedicate the child?

Mother Only Father Only Both Parents