Baby Dedication Request
Mother's Name *
Your answer
Mother's Email *
Your answer
Mother's Phone *
Your answer
Father's Name *
Your answer
Father's Email *
Your answer
Father's Phone *
Your answer
Baby's Full Name *
Your answer
Baby's Gender *
Baby's Date of Birth *
Your answer
Hospital of Birth *
Your answer
Baby's Height and Weight at Birth *
Your answer
Requested Date of Dedication (Baby dedications are only scheduled on the 2nd and 4th Saturday of the month) *
Your answer
Officiating Pastor *
Are you a member of Restoration Praise Center? *
IMPORTANT NOTE: This request is not confirmed until an in-person meeting with the clerk has been scheduled. Please contact Gabrielle Agwu at babyblessing@rpcsda.org to schedule a time to meet. *
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