Home
About
Child Dedication
Connect
Connect card
Connect Card
Welcome to our church! We're glad you're here. Our team would love to serve you and help you get connected.
First Name
Last Name
Email
Phone
Address 1
Address 2
Country
City
State
Zip/Postal Code
How many times have you visited our church?
This is my first time
A few times
Regular attender
I would like to learn more about (check all that apply):
Baptism
Volunteering
Membership
Next Steps
Jesus
How did you hear about us?
Prayer Needs / Jesus Victories
Send
Media
Give
I'm New
Online Resources
Child Dedication
Child Dedication Sign Up Form
We'd love to hear from you. Fill out the form below to get started.
Child’s Full Name
Birth Date
Gender
Male
Female
Relationship to Child
Mother’s Full Name
Address 1
Address 2
Country
City
State
Zip/Postal Code
Phone Number
Email Address
Mother: Have you received Jesus as your Lord and Savior
Do you attend Impact Church at Liberty
Yes
No
Father’s First Name
Father’s Last Name
Address 1
Address 2
Country
City
State
Zip/Postal Code
Phone Number
Email Address
Father: Have you received Jesus as your Lord and Savior
Do you attend Impact Church at Liberty
Yes
No
Why do you personally want to have your child dedicated?
SIGN UP
