If you're interested in getting your child dedicated, please fill out and submit the form below and our office will get in touch with you.
Thank you for your interest in dedicating your child to the Lord at Speak the Word Church International!
We believe that your relationship with this local church is essential to prepare you for your child’s dedication. Your responses to the following questions will help us to process the registration form for this important event in the life of your child(ren).
Today's Date* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2025 2026
Yes
No
(If married, both the husband and wife are expected to be present on stage for the dedication. If you are a single parent, we ask that you have a family member of the opposite sex standing with you and the child for the dedication.)
Please complete the baby dedication registration information below.
Mother's Full Name*
Mother's Email*
Mother's Cell Phone*( ) -
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
*Please note the blank drop down menu for selecting your state.
Father's Full Name*
Father's Email*
Father's Cell Phone*( ) -
Baby's First Name*
Baby's Middle Name*
Baby's Date of Birth* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2022 2023 2024 2025 2026
Male
Female
Do you have any other children that you would like to dedicate at this time?
If so, please fill out the information for each child below.
Name
Middle Name
Age