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
Your answer
Submitter First Name
Your answer
Submitter Email Address
Your answer
Baby Dedications are held on the third Sunday of the month at 9:45 a.m. 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
Your answer
First Name
Your answer
Middle Name
Your answer
Suffix
Your answer
Date of Birth
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Place of Birth
Your answer
Hospital of Birth
Your answer
Would you like a picture from the event?
Mother's Information
Last Name
Your answer
First Name
Your answer
Grove Member?
Marital Status
Home Phone Number
Your answer
Cell Phone Number
Your answer
Email Address
Your answer
Home Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Father's Information
Last Name
Your answer
First Name
Your answer
Grove Member?
Marital Status
Home Phone Number
Your answer
Cell Phone Number
Your answer
Email Address
Your answer
Home Address
If different form mother
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Number of Grandparents Attending
Your answer
Number of Godparents Attending
Your answer
Grandparents' Names
Your answer
Godparents' Names
Your answer
Grove Contact Information
Last Name
Your answer
First Name
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Grove Members Related to Family
Your answer
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?
Your answer
What areas of the church are you serving?
Your answer
Are both parents committed Christians? If not, please describe spiritual affiliation.
Are all of the persons you selected as godparents committed Christians? If not, please describe spiritual affiliation.
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