Baby Dedication Ceremony

Baby Dedication Ceremony
Child's Name*

First NameMiddle NameLast Name
Date of Birth*

YearMonthDay
Gender*

MaleFemale
Location of Birth*
Family Information
Parent's name*

First NameLast Name
Parent stated above is the:*
Marital Status*

MarriedSingleCommon LawSeperated
Will both parents be present for the dedication?

YesNo
Second Parent's Name

First NameLast Name
The Second Parent Listed is the:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
E-mail*
Do you attend Family Christian Centre*

Yes, I attend FCCNo, I attend another churchNo, I don't attend any church
Dedication Information
Place of Dedication*

Family Christian CentreOther
Type of Ceremony*

Public (During Sunday Morning Worship Service)Private (Anytime outside Sunday Morning Worship Service)
Date you are requesting for the Dedication*

MonthDayYear
Preferred time?

:HourMinutesAM/PM Option
Will you have other children under the age of 12 joining you on the stage?

YesNo
If another location is requested please state below?
Would you like to request a specific Pastor? If so, please write their name here.
Will you provide digital pictures for power point?*

YesNo
Should be Empty:

Family Information