C3 Baby Dedication Form
We love baby dedications and are excited to partner with you! Please fill out the information below so we may contact you.
Name of Father
*
First Name
Last Name
Name of Mother
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Address
*
Mailing Address
Street Address
City
State / Province
Postal / Zip Code
E-mail
*
Full Name of Child
*
First Name
Middle Name
Last Name
Child Date of Birth
*
Example: 01/05/2019
Weight of Baby (at birth)
In lbs.
Length of Baby (at birth)
Inches
Desired Date of Dedication
*
We will contact you to confirm availability of your desired date and service time.
Please upload photo of your child or family photo with your child.
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