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Baby Dedication Application

"Train up a child in the way he should go; and when he is old, he will not depart from it." Prov 22:6  

 

                 Dedication Date* (mm/dd/yy): 

 First Choice:       Second Choice:  

                          * Note: Dedications are performed during Sunday morning service.

           Father's Name:      
           Mother's Name:      
           Child's Name:      
                 Address: 
                 Phone Number:      
                 Email Address:  
                 What Church Do You Faithfully Attend:

                 Have Parents Accepted Jesus As Savior:

  Yes   No

                 Did You Review The "Preparing For The Baby Dedication" Page:

Yes   No

Any Special Requests:

 

 

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