baby/child dedication form

Baby/Child Dedication Form
Baby or Child's Full Name *

First Name Middle Name Last Name
Baby or Child's Birthday

- Month - Day Year
Date
Father's Name *

First Name Last Name
Mother's Name *

First Name Last Name
Date requested for dedication:

- Month - Day Year
Date
Which service would you like your baby/child dedicated during?

9:00AM 11:00AM
Please list the names of any siblings who will be joining you up front:
Please list the names of any family members or friends who will be joining you up front and their relationship to the child being dedicated:
CA we share your child's dedication to our website and Facebook page as part of our sermon video?

Yes No
Would you like a disc with your child's dedication video on it?

Yes No
Contact Information

Address *