Child Dedication Request Form

Please complete & submit this form to request a child dedication at Bedford Community Church. Upon submission, a member of the BCC staff will contact you regarding final details and scheduling.

*For multiple children please submit one form for each child*

Parent/Guardian #1 Information

First Name *

Last Name *

Email Address *

Mobile Number

Parent/Guardian #2 Information

Please complete if parent/guardian #2 will be present for the dedication.

First Name

Last Name

Email Address

Mobile Number

Child Information

First Name *

Last Name *

Preferred Name

Tip: If different then First & Last name

Date of Birth

Available Dates

Please provide 3 dates that your family is available to participate in the baby dedication. Please note that there is no guarantee of availability within the church calendar for this dates, but we will strive to work within the dates provided.

If none are available for a dedication, a staff member will reach out to coordinate additional dates that will work for both parties.

Date, First Preference *

Date, Second Preference *

Date, Third Preference *

Service Preference *

1st Service (9:00am)

2nd Service (11:00am)

Tip: Select which service(s) you are available