Antioch Baptist Church North Baby Dedication Intent

Antioch Baptist Church North Baby Dedication Intent

Please complete this form and a member of our New Arrivals Ministry will be in touch with you.
Mother's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Primary Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Primary Email

Confirmation Emailexample@example.com
Father's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Primary Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email

Confirmation Emailexample@example.com
Maternal Grandparent Name

First NameLast Name
Paternal Grandparent Name

First NameLast Name
Godparent's Name
Sibling's Name (s)
Baby's Name

First NameMiddle NameLast Name
Male or Female
Birth weight
Length
Date of Birth

MonthDayYear
Date
Place of Birth
Name of Hospital
Are you a member of Antioch Baptist Church North?
Upload a picture of your child that we can include in our program and/or special gift

Cancelof
All information on this form is required as the church office and The New Arrivals Ministry must be able to contact you to share important information regarding your baby's dedication. Your cooperation is greatly appreciated.
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