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 *
Father's Full Name *
Full Name of Baby *
Baby's Date of Birth *
Name of Hospital *
Baby's Gender *
Are the Parents or God Parents members of Mount Ararat?
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Address *
City *
State *
Zip Code *
Phone Number *
Primary Email Address *
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