2026 Baby Dedication Request

Baby Dedication Request

If you are interested in dedicating your baby to the Lord, please complete the form below. Once your request has been submitted, your family will receive additional information regarding the dedication process and next steps.To participate in a Baby Dedication at The Luke Church, at least one parent must be a member of the church. Baby Dedications are offered for children between the ages of 2 months and 2 years.
Is at least one parent a member of The Luke Church?
Request Date:
Baby's Information:
Baby's Name:

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Parent's Information:
Mother's Name:

First NameLast Name
Father's Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number:
Format: (000) 000-0000.
E-mail:
example@example.com
Marital Status:
Will both parents be in attendance?
Expected family/friends in attendance?
Are you the legal guardian of the child to be dedicated?
I would like a PRIVATE dedication
Additional Details
Office Use Only

Member status verified through church database.

Status Approved:
Should be Empty: