Dedication Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Today's Date *Parent InformationPrimary Contact (Mother or Father's Name) *Phone *Email *Secondary Contact (Father or Mother's Name)i.e. If the Primary Contact is the Mother, then this field is for the Father.PhoneEmail Address *City *Zip *Marital Status:SelectSingle ParentMarriedDivorcedWidowedMarried, but separated and living apartLiving together, not marriedTogether, living apartOther: please explainIf married, what is your wedding date?Do you attend Calvary Life as your home church?SelectYesNoHow long have you attended Calvary LIFE?What service do you attend regularly?What is your God Story? How did you come to know Christ as your personal Lord and Savior?Child InformationChild's Name *Date of Birth *Child's Age *Birthplace (City/State) *Hospital *Have You Done a Baby Dedication before? *SelectYesNoWhen? *SelectLess than a year2 years agoMore than 2 years agoWhere? *SelectAt CCSBAt a different Calvary ChapelAt a different DenominationDedications are now scheduled privately with a pastor and your invited family & friends. Dedications will not be scheduled during holidays such as Christmas, Easter, Thanksgiving, etc. Desired Venue *Private dedication with a pastor & invited family/friendsDesired Dedication Month *Please enter your first choiceDesired Dedication Month *Please enter your second choiceFather's QuestionsHave you accepted Jesus Christ as your personal Lord and Savior?SelectYesNoHow Long Ago?What does it mean to be "born again"?How long have you been attending Calvary LIFE?What does having your baby dedicated mean to you?What guidelines do you have for raising your children in the ways of the Lord?What does the Bible teach about parenting? Give a favorite scripture reference. Mother's QuestionsHave you accepted Jesus Christ as your personal Lord and Savior?SelectYesNoHow Long Ago? What does it mean to be "born again"? How long have you been attending Calvary LIFE? What does having your baby dedicated mean to you?What guidelines do you have for raising your children in the ways of the Lord? What does the Bible teach about parenting? Give a favorite scripture reference. MessageSubmit
