Baby Dedication

1
Father's Name
First Name
Last Name
2
Mother's Name
First Name
Last Name
3
Baby's Name
First Name
Last Name
4
Date of BirthPlease note that children 4 years and older are not eligible for baby dedications.
Date
Year
Month
Day
5
City of Birth
6
Names of Siblings
7
Service Preference -Which service would you like the dedication to be in? Availability is limited for each service. We will do our best to accommodate requests, but will contact you to confirm the service time you have been assigned.
1st Service (8:30am)
2nd Service (10:30)
8
Email
example@example.com
9
Phone Number
Area Code
Phone Number
10
Dedication PhotoPlease upload a photo of your little one to be used on the screen for the dedication. Please make sure it is a high quality landscape photo.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
AttendanceBaby dedications are reserved for the children of families that attend MercyGate Church. Please let us know how long you've attended.
Less than a year
1-2 years
3-5 years
6+ years
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