Baby Dedication Form

Baby Dedication Form

Please fill out the form below
Name

First NameLast Name
Contact Number
Email Address
example@example.com
Dedication Information
Which location?

RTT Downsview (North York)RTT Durham (Pickering)
First Date Choice for Dedication

MonthDayYear
Date
Second Date Choice

MonthDayYear
Date
Third Date Choice

MonthDayYear
Date
Baby's Name

First NameLast Name
Baby's Date of Birth

MonthDayYear
Date
Baby's City & State of Birth

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name

First NameLast Name
Father's Name

First NameLast Name
Will Grandparents attend the dedication?

YesNo
Grandparent's Names(mother)

First NameLast Name
Grandparent's Names (father)

First NameLast Name
Godparent's Names
Will godparents attend the dedication?

YesNo
Notes/Special requirements
Please attach a picture of the baby for the certificate.

Cancelof
Should be Empty: