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Baby Dedication Application Form

Baby/Child Dedicationnformation Session PDF | DOC

If you would rather fill out the form yourself and mail it in. PDF | DOC

Baby/Child's First Name

Baby/Child's Middle Name

Baby/Child's Last Name

Baby/Child's Sex
Male
Female

Baby/Child's Date of Birth

Which hospital was your baby/child born at?

What city was your baby/child born in?

What country was your baby/child born in?

Mother's First Name

Mother's Middle Name

Mother's Last Name

Father's First Name

Father's Middle Name

Father's Last Name

Date of Baby/Child Dedication Service

Which service do you normally attend?
9am
11am

Which service do you want the baby/child dedicated at?
9am
11am

Is there Godparents?
yes
no

If Yes, then what are their names?

Baby/Child’s Life Verse

Please Enter This Security Code