Baby Dedication Request
Sunday, February 15 @ 10:00 a.m. Request must be submitted by Tuesday, February 10th, 2026.
Baby Name (As you would like it to appear on the certificate):
*
Baby Birth Date:
*
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Month
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Day
Year
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Hour
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Minutes
AM
PM
AM/PM Option
Parents' Names
*
E-mail:
*
Home Phone:
Cell Phone:
Comments:
Submit
Should be Empty: