Baby Dedication Request

"Baby Dedication Request"

All dedication requestors are asked to complete the form below
If you are registering more than on person, please complete a separate form for each candidate.
Baby's Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent's E-mail*
example@example.com
Parent's Cell Phone Number*
Baby's Date of Birth*

MonthDayYear
Baptism Candidate's Gender*
Baby's Mother Name

First NameLast Name
Baby's Father Name

First NameLast Name
Parent's Phone Number
Month Requested for Baby Dedication*

MonthDayYear
Date
Comments and/or Questions:
Should be Empty:

"Baby Dedication Request"