Child's Name *

First Name

Last Name

Mother's Name *

First Name

Last Name

Father's Name *

First Name

Last Name

Checkbox *

We/I have watched all the material and completed the assignments for the following sessions...

Session One

Session Two

Session Three

The following belief statements are core truths CITYPOINT believes in and abides by. If you are in agreement with these statements, please check the box. *

I believe in God, creator of the universe

I believe in Jesus Christ

I believe in the Holy Spirit

I believe the Bible is the inspired word of God

I believe all people need a savior, and Jesus Christ is the one and only Savior

I believe that being connected to the local church is both commanded by Jesus and critical for my family if we desire to stay committed to Jesus

I understand that dedicating my child does not mean my child is saved