Baby Dedication Form
Please fill out this form and click submit.
Child's Full Name
*
Child's Age
*
Gender
*
Please select all that apply.
Boy
Girl
Dad's Name
Dad: Have You Confessed Jesus as Lord of your Life?
*
Please select all that apply.
Yes
No
Do you believe God raised Him from the dead?
*
Please select all that apply.
Yes
No
Mom's Name
Mom: Have you confessed Jesus as Lord of your life?
*
Please select all that apply.
Yes
No
Do you believe God raised Him from the dead?
*
Please select all that apply.
Yes
No
Parent's Email
*
This address will receive a confirmation email
Parent's Phone
*
Date Preferred
*
Which Sunday Service?
*
Please select one option.
9am
11am
6pm
Which Pastor will be doing the dedication?
*
Please select one option.
Pastor Doug
Pastor Cody
No Preference
How many people will be on stage?
*
Special Information (ie. adoption, story behind the child's name, praise reports about birth, etc.)
*
Unnamed Label
*
Please select all that apply.
Option
Option
Option
Submit
Description
Please fill out this form and click submit.
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