Family Ministry

Child Dedication Request

Child dedication is a joyful moment where parents publicly commit to raising their child in the ways of the Lord. Fill out this form to begin the process.

Fields marked with * are required.

Child's Full Name

Child's Full Name *

Child's Date of Birth *

Parent / Guardian 1 — Full Name

Parent / Guardian 1 — Full Name *

Parent / Guardian 2 — Full Name (optional)

Email Address *

Phone Number *

Address *

How long have you been attending EPD? *

Preferred Dedication Date (optional)

Additional Notes (optional)