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.
Notice: Due to the senior pastor's schedule, there may be a 3-4 month delay in his availability.
Person submitting this form
Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Your membership campus

Global (give city/state or non-U.S. country)
Child's sex
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