Baby Dedication Request

BABY DEDICATION REQUEST
Congratulations on the birth of your new baby! Please fill out this form and we will be in touch with you soon to confirm your child's dedication date.
I understand the delay and am willing to waitI am fine with a staff pastor performing the dedication
Child's motherChild's father
Phone number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
AtlantaDetroitIndianapolisGlobal (give city/state or non-U.S. country)
MaleFemale
Child's name*

First NameMiddle NameLast Name
Date of birth*

MonthDayYear
Date
Mother's name*

First NameLast Name
Father's name*

First NameLast Name
Should be Empty:

BABY DEDICATION REQUEST