Child Dedication Application Form
Please fill out this form and click submit.
Child's Full Name
*
Gender
*
Please select all that apply.
Male
Female
Mother's Name
*
Father's Name
*
Child's Date of Birth
*
Date Requested for Baby Dedication
*
Which service would you prefer for the dedication?
*
Please select all that apply.
8:30 AM
10:00 AM
11:30 AM
Email
*
This address will receive a confirmation email
Phone
*
Submit
Description
Please fill out this form and click submit.
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