Baby Dedication Ceremony

Baby Dedication Ceremony
Child's Name

First NameMiddle NameLast Name
Date of Birth

YearMonthDay
Gender
Location of Birth
Family Information
Parent's name

First NameLast Name
Parent stated above is the:
Marital Status
Will both parents be present for the dedication?
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
Dedication Information
Place of Dedication
Type of Ceremony
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?
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?
Should be Empty:

Family Information