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Baby Dedication Registration
Congratulations on your desire to dedicate your child to the Lord! We are always eager to assist you in this important matter.
Please complete the registration form to request our Baby Dedication Service.
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Mother's Full Name
*
Your answer
Father's Full Name
*
Your answer
Full Name of Baby
*
Your answer
Baby's Date of Birth
*
MM
/
DD
/
YYYY
Name of Hospital
*
Your answer
Baby's Gender
*
Male
Female
Are the Parents or God Parents members of Mount Ararat?
Yes
No
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Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Primary Email Address
*
Your answer
Comments
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