Language
English (US)
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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