WCCI Baby Dedication Form

WCCI Baby Dedication Form
World Changers Church hosts a Baby Dedication every 1st and 3rd Sunday before the 10AM Service in the Dome.
Which 1st or 3rd Sunday would you like to have your child dedicated

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Mother's Name

First NameLast Name
Mother's Phone Number
Format: (000) 000-0000.
Mother's E-mail
example@example.com
Father's Name

First NameLast Name
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Email
example@example.com
Select one Family Member who is a World Changers Church International Member
Child(ren) Information
Child #1 Name

First NameLast Name
Child #1 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child #1 Hospital Name
Hospital Name
Birthplace Name
Birthplace Name
Location (City, State, Zip)

Street Address

Street Address Line 2

CityState

Zip Code
Child #2 Name

First NameLast Name
Child #2 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child #2 Hospital
Hospital Name
Birthplace Name`
Birthplace Name
Location (City, State, Zip)

Street Address

Street Address Line 2

CityState

Zip Code
Child #3 Name

First NameLast Name
Child #3 Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child #3 Hospital
Hospital Name
Birthplace Name
Birthplace Name
Location (City, State, Zip)

Street Address

Street Address Line 2

CityState

Zip Code
Record Type ID
Subject
Should be Empty:

Child(ren) Information