Baby Dedication Form

When you arrive, please inform an usher that you are having your child dedicated and they will escort you to reserved seating.

Child's Full Name

Child's Gender

Male

Female

Child's Date of Birth

Father's Name:

Mother's Name:

Address

City

State

Zip

Email Address

Phone Number

Service Attending

9:00 am Service

11:30 am Service

People who will be attending with you. (please note relationship to child)

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