Baby Dedication Request
Please fill out this form and click submit.
Please complete the following form and return to the church office. All information will be kept confidential. You will be contacted for the date of the Baby Dedication.
Childs Full Name
*
Phone
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Date of Birth
*
Mother’s/Guardian Full Name:
*
Father’s/Guardian Full Name:
*
Special Notes / Requests
*
Which Pastor would you like to Dedicate your Child
*
Please select one option.
Pastor Ken
Pastor Todd
Both
Other
Select Option
Pastor Ken
Pastor Todd
Both
Other
Preferred Date(s) (We will call or text to confirm date/time and other information needed) *
*
Please attach a picture of the baby for display during the dedication.
Upload (8MB)
Submit
Description
Please fill out this form and click submit.
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