Hotl-Dedication

House of the Lord

Hurricane Str, Airfield, Benoni

Please Note! The information provided below will appear on the Dedication Certificate that you will receive on the day of Dedication. Please ensure that the information is correct in all respects.

Mark 10:13-16 (NIV)
People were bringing little children to Jesus to have him touch them, but the disciples rebuked them. When Jesus saw this, he was indignant. He said to them, “Let the little children come to me, and do not hinder them, for the kingdom of God belongs to such as these. I tell you the truth, anyone who will not receive the kingdom of God like a little child will never enter it.” And he took the children in his arms, put his hands on them and blessed them.

Child's Information

A separate form must be submitted for each child being dedicated.

Child's Full Names and Surname

Date of Birth

YY-MM-DD

Place of Birth

City, Province, Country

Preferred Date of Dedication

YY-MM-DD PLEASE NOTE that this date will be confirmed by the Pastor and is not fixed until confirmed!

Parents Information

Father's Full Names and Surname

This information must be provided regardless of whether he will be present at the dedication or not!

Mother's Full Names and Surname

This information must be provided regardless of whether she will be present at the dedication or not!

Details of person completing this form

Title

This information is required. Please click one!

First Name

Surname

Cell Phone No

999-999-9999

Email

you@domain.com

One more thing to do, please press the "Submit" button below and wait for an acknowledgement that we have received your submission.