Baby Dedication Request Form
Baby dedications are for members of The Greater Piney Grove Baptist Church. At least one parent has to be a member. Friends and family members, other than the parents, grandparents and godparents are asked to stand at their seats during this sacred event. Required fields are indicated by asterisks (*)
Submitter Last Name *
Submitter First Name *
Submitter Email Address *
Baby Dedications are held on the fourth Sunday of the month at 9:15 a.m. in the Frank Jones Memorial Chapel. Please keep this in mind when selecting dates.
Request Date *
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Alternate Date *
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Class Date *
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Child Information
Last Name *
First Name *
Middle Name *
Suffix
Date of Birth *
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Place of Birth *
Hospital of Birth *
Would you like a picture from the event? *
Mother's Information
Last Name *
First Name *
Grove Member? *
Marital Status *
Home Phone Number *
Cell Phone Number *
Email Address
Home Address *
City *
State *
Zip Code *
Father's Information
Last Name
First Name
Grove Member?
Clear selection
Marital Status
Clear selection
Home Phone Number
Cell Phone Number
Email Address
Home Address
If different form mother
City
State
Zip Code
Number of Grandparents Attending *
Number of Godparents Attending *
Grandparents' Names
Godparents' Names
Grove Contact Information
Last Name *
First Name *
Home Phone Number *
Cell Phone Number *
Grove Members Related to Family
Has your membership information been updated at The Grove for the current year? *
What service do you attend most frequently? *
In what Sunday church school classes are you enrolled or have been enrolled?
What areas of the church are you serving?
Are both parents committed Christians? If not, please describe spiritual affiliation.
Clear selection
Are all of the persons you selected as godparents committed Christians? If not, please describe spiritual affiliation.
Clear selection
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