BABY DEDICATION FORM
This form is used to submit baby dedication requests. Forms must be submitted (1) month in advance of request date. Request date DOES NOT subject to guarantee. Baby Dedications are HELD on the 1st SUNDAY of EACH MONTH.
Email address *
DATE REQUESTED: *
MM
/
DD
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YYYY
PATERNAL INFORMATION
FATHERS FIRST NAME:
FATHERS LAST NAME:
ADDRESS:
TELEPHONE NUMBER:
RELIGIOUS AFFILIATION:
MATERNAL INFORMATION
MOTHERS FIRST NAME:
MOTHERS LAST NAME:
ADDRESS:
TELEPHONE NUMBER:
RELIGIOUS AFFILIATION:
AFFILIATION TO THOJ: *
CHILD'S INFORMATION
CHILD'S NAME: (FIRST MIDDLE LAST)
DATE OF BIRTH
MM
/
DD
/
YYYY
CITY AND STATE OF BIRTH
GOD PARENTS INFORMATION
GOD MOTHER NAME (1)
GOD MOTHER NAME (2)
GOD MOTHER NAME (3)
GOD FATHER NAME (1)
GOD FATHER NAME (2)
GOD FATHER NAME (3)
MEMO:
ONCE SUBMITTED, AN EMAIL WILL BE SENT TO THE EMAIL ADDRESS LISTED ABOVE WITH FURTHER INSTRUCTIONS.
A copy of your responses will be emailed to the address you provided.
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