Baby Dedication Form

• • Date

    Please select which date you would like to be included
• • Baby Dedication Service * Choose the date you would like you and your child to participate. All available dates are listed.
    ...August 8th 2010October 17th 2010
    Choose date.

• • Baby

    Information about your baby.
• • First Name *
    
    
• • Middle Name
    
    
• • Last Name *
    
    
• • Child is my *
    Son
    Daughter
    
• • Date of Birth * Child's Date of Birth
    
    

• • Family Information

    Information about Family
• • Mother's Name *
    
    First
    
    Last
• • Father's Name *
    
    First
    
    Last
• • GrandParents' Names(Mother) List the names of the Grand Parents that will be present during the service.
    
    List only if present in the service
• • GrandParents' Names(Father) List the names of the Grand Parents that will be present during the service.
    
    List only if present in the service

• • Other Children

     Please list whether present or not in the service. If you need more space place any additional children in the notes section at the bottom of the form.
    List your other children
• • Child 1 Name
    
    First
    
    Last
• • Child 1 Age
    
    Age in Years
• • Child 2 Name
    
    First
    
    Last
• • Child 2 Age
    
    Age in Years
• • Child 3 Name
    
    First
    
    Last
• • Child 3 Age
    
    Age in Years

• • Prayer and Scripture

    Prayer of Dedication and Scripture Verse
• • Prayer of Commitment *
    
    Please keep your remarks to a sentence or two as this will be read during the Dedication Service
• • Scripture Verse *
    
    The verse will be printed in the Dedication pamphlet for use in the Sunday morning bulletin.

• • Other Information

    Use this section for any other details you would like to add.
• • Email Address * Be sure to use and email address that you check often.
    
    Email Address used to contact you for any additional information that might be needed
• • Phone Number * Be sure to use phone number that you can be reached from most frequently such as a cell phone.
    
    Used to contact your for additional information that might be needed
• • Notes
    
    

Authentication Text*
(Enter the text in the image above into this field.)