Family Dedication - Northbrook Baptist Church

Father's Name *

First & Last

Mother's Name *

First & Last

Address *

Street, City, State, Zip Code

Phone number *

Child's Name (First, Middle & Last) *

Please list the name of the child you are wanting to dedicate.

Child's Date of Birth *

Sibling's Names

Life Verse *

Choose a Life Verse for your child - an important verse from scripture you will use as a guide for raising your child, pray over your child, and commit to model in front of your child.

Child's Photo *

Upload a picture of the child you are dedicating. Please upload the original file for best quality. Photos from social media do not work.

No file currently selected

Choose 1 file. Maximum file size 10 MB.