Baby Dedication Registration

Baby Dedication Registration

Please fill out the below form to have your child, or children dedicated to the LORD.
Parent/Guardian Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please list the First and Last names of the children that you are registering for baby dedication.
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Empowering Word Christian Center

Sunday Service at 11am cst

4010 East State Street

Rockford, IL 61108

Phone: 815-243-0724

Email: ewcc.office@empoweringword.net
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