Baby Dedication Form

We/I have read the Baby and Child Dedication Policy and desire to present ourselves/(self) and child(ren) to God. We/I agree to be diligent in fulfilling our/my duties as parent(s).


Father's Signature

Mother's Signature

The following information is needed for the Certificate of Dedication:

Child's Gender:*

Contact Information:

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Please upload a landscape (horizontal) picture of your family (parent(s) and child(ren)) to use during the dedication.

If this is your first dedication at Copperfield Church, please call the church office at 281.856.2273 to set up an appointment to meet the Director of Preschool Ministries, Cassie Lang.