Baby Dedication Form

Community Baptist Church of Englewood

224 First Street

Englewood, NJ 07631

Phone: 201-568-6369 Fax: 201-568-3512 www.cbcofe.org

Reverend Dr. Lester W. Taylor, Jr., Senior Pastor
CBC BABY DEDICATION FORM
PLEASE NOTE: Telephone calls and inquiries will only be accepted from the mother or father of the baby.
Baby's Name: *

First Name Last Name
Baby's Date of Birth: *

- Month - Day Year
Hospital of Birth: *
Hospital City/State:
Mother's Name: *

First Name Last Name

Address: *

Father's Address: *

Godparent #1 Address:

Godparent #2 Address: