Christian Community of London

CCL Children Dedication Form

Father's Details
Father's Name:
Nationality:
Mobile Number:
Home Number:
E-mail:
Name of Leader:
Leader of Generation:
Is he leader of Cell Group?
Is he Baptised?
Time attending CCL:
School of leaders:
Address:
Civil Status:
Mother's Details
Mother's Name:
Nationality :
Mobile Number:
Home Number:
E-mail:
Name of Leader:
Leader of generation:
Is she Leader of a cell group?
Is she Baptised?
Time attending at CCL:
School of leaders:
Address:
Civil Status:
Child's Details
Child's Name:*
Location and Date of Birth:*
Details of Dedication
Date of Dedication:
Minister that presented:
Campus presented at:
Additional Information:
If inapplicable, please proceed to section 4
Signature:*
Date:
Word Verification: