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Child Dedication | Registration
Please complete all the fields below. The next Child Dedication is June 21st 2026!
Your name
*
Last name
Email address
*
Phone Number
*
Phone type
Mobile
Home
Work
Other
Primary Campus?
*
*Select one
Lake Worth Campus
West Palm Beach Campus
Boynton/Delray Campus
I am ready to make the commitment to raise up my child to know Jesus!
*
Are you married? Please list your spouse's full name below.
*
Which service would you like to dedicate your child at?
Select…
9:00AM (LAKE WORTH)
11:00AM (LAKE WORTH)
12:45 (LAKE WORTH)
9:00AM (BOYNTON/DELRAY)
11:00AM (BOYNTON/DELRAY)
9:00AM (WEST PALM BEACH)
11:00AM (WEST PALM BEACH)
How many children are you dedicating?
*
What are the names and ages of the children you are wanting to dedicate?
*
Chid Dedication is for children ages 6 weeks-7 years old
Please list your child's name as you would like it to appear on their certificate.
*
Please list the names and ages of any other children you have.
*
How long have you been at Journey Church?
*
What does Child Dedication mean to you and your family?
*
What encouraged you to take this next step?
*
Is there anything else you'd like your pastor to know?
*
How many immediate family members (including yourself, spouse and children) will be attending to experience Child Dedication with you?
*
What are the names of the parent and/or guardian's that will be dedicating the child?
*
Submit
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