Request edit access
Baby Dedication Request Form
It is our desire at MT. ZION for the parents of each child being dedicated to the Lord to have a Biblical understanding of what a "Baby Dedication" signifies.  With this as our goal, we would like you to help us by answering a few brief questions that will be used to assist in preparing you and your child for dedication.  

Church Office: 718-284-1097
Sign in to Google to save your progress. Learn more
Email *
Father's Name *
Mother's Name *
Parent Address *
City *
State *
Zip Code *
Phone Number *
Work Number *
Email Address *
First Name *
Name of child(ren) to be dedicated
Middle Name *
Name of child(ren) to be dedicated
Last Name *
Name of child(ren) to be dedicated
Birthday *
MM
/
DD
/
YYYY
Time
:
Hospital *
On what date would you like to dedicate your baby? *
Baby Dedications are performed during the 10AM Sabbath Worship Experience. 
MM
/
DD
/
YYYY
Questions/Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report