Child's Full Name (Including middle and last names) *
Child's Name (the one that you will call them by) *
Date of Birth *
Mother's Maiden Name *
Parent's Name *
Email *
Phone *
Address *
Central Campus
North West Campus
East Edge Home Churches
Bridgeland Campus
Airdrie Campus
How long have you been attending Centre Street Church? *
Yes
No
My/Our Small Group Leader is
I/We have attached a photo to be used for a dedication celebration in the sanctuary at a later date.
Why do you desire to present your child for dedication? *
What does it mean to live your faith at home and/or spiritually nurture your child in the way of Jesus Christ? *
If possible, we would like the following Pastor to Dedicate our Child
Central Campus Child Dedication Service on February 12, 2012 at 1:30 pm
Central Campus Child Dedication Service on May 13, 2011 at 1:30 pm (Mother’s Day)
Small Group Dedication with my/our Community Small Group offsite
At my Regional Campus (if available)
Please contact me about my special circumstances
Please note – all Child Dedication Requests take a minimum of four weeks for processing and booking requirements, someone will be in contact with you within 72 hours, if you have not heard from anyone please email childrens@cschurch.ca to confirm that your request has been received. Also note, our Pastors are willing to visit your home if you would like to do a close intimate gathering with family and friends, please do fill out this form
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