Living Water

Please fill out this form if you would like to be a part of our next Baby/Child Dedication Ceremony. Pastor Rick will contact you to coordinate a convenient date for you and your family!

Baby/Child First Name: 

Baby/Child Last name:

 Baby/Child's age:

Parents full names

Address: 

City: 

State: 

Zip Code: 

Home phone #: 

Cell phone # 

Email address:

 It is the custom at Living Water Baptist Church to show a picture of your baby or child, on the screen, during the ceremony. This will enable everyone in the service to be able to see your child.  Please email the picture your would like shown to Pastor Rick at rcarpenter@livingwaterbaptistchurch.org