Please complete this form if you would like to have your child dedicated at Centerpoint. If you are dedicating more than one child, fill out a separate form for each. Please be advised that your requested dedication date is not confirmed until you receive a confirmation email from Centerpoint. We ask that requests be submitted at least 2-3 weeks prior to desired dedication date. Once we receive your form, we will schedule a time for you to meet with Celia Thorington, Director of Children’s Ministry, as well as with our technical team to record your dedication video. Please return form to Celia Thorington by email at celia@centeringlives.com or by fax 334-356-4695.