Baby Dedication Form

1
Which Sunday would you like to dedicate your child?* This field is required.
February 15, 2026
May 17, 2026
August 16, 2026
November 15, 2026
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Name of Child* This field is required.
First Name
Middle Name
Last Name
4
My child is a
Boy
Girl
5
Child's Date of Birth* This field is required.
Date
Year
Month
Day
6
Father's Name* This field is required.
First Name
Last Name
7
Mother's Name * This field is required.
First Name
Last Name
8
Picture you would like included on the slide * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
9
Optional: Other information you would like included on the slide (Grandparents' names, birth weight/height etc.)
10
Would you like a special gift?* This field is required.Sisters of our church enjoy donating a special flax linen blanket embroidered with the child's name, birthdate, and Deut. 6:4-5 or an embroidered shawl for older children being dedicated. The significance comes from Rev. 19:7-8 and this form needs to be submitted at least 10 days prior to the dedication to allow time for this gift to be prepared.
YESNO
11
Any additional comments or questions
Should be Empty: