Child Dedication

If you would like to have your child dedicated to the Lord, please review the following information throughly before submitting the form.

Requirements for dedication:

Only a couple committed to Christ and married (a man and a woman) or a single parent committed to Christ may participate in the ceremony.
For unmarried parents, we ask that only one parent present the child on stage.
A believing parent may dedicate independently of an unbelieving spouse.
Single parents who dedicate their children may not have boyfriends or girlfriends present with them on the stage. However, they are welcome to attend the service.
Child dedication to take place during Sunday service

By submitting this form, you agree to the requirements outlined above.

Upon submitting this form, a coordinator will be in touch with you as soon as possible.

Your name *

Email address *

Phone number *

Marital status *

Child's Full Name *

Child's Birth Date *

Desired Date for Dedication *

Backup Date *

While we hope to accommodate your desired date, there may be previous accommodations that cannot be altered.

Mother's Full Name *

Father's Full Name *

How many seats will need to be reserved? *

If unmarried, who will present the child? *

If this question is not applicable to you, please type N/A.

Are you a member of Reach LA? *

Please provide a photo that you would like displayed on the TV screens during the dedication. *

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.