Child dedication form

First Name

Last Name

Email

Phone Number

Are you an active member at One Life?

Are you the parent or legal guardian of these children?

1st child's full name (First, Middle, Last)

How old is child 1?

2nd child's full name (First, Middle, Last)

How old is child 2?

Please tell us more about your desire to dedication your child

One Life Christian Church
3147 Eastern Pkwy,
Baldwin, NY 11510
(516) 379-0720