Baby/Child Dedication Form
May 11th - 2nd Service | Please fill out this form by May 5th if you would like to have your baby and/or child dedicated on May 11th.
Parent Name
*
Parent Name
Child Name & Birthdate
*
Child Name & Birthdate
Child Name & Birthdate
Child Name & Birthdate
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Please upload a photo of your baby and/or child here to be used on a slide the morning of the dedication.
*
Upload (8MB)
Upload (8MB)
Upload (8MB)
Upload (8MB)
Submit
Description
May 11th - 2nd Service
Please fill out this form by May 5th if you would like to have your baby and/or child dedicated on May 11th.
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