Please submit this form at least 2 weeks in advanced at a minimum. The date requested is subject to approval by the Senior Pastor. Please wait for a confirmation from the church office before making arrangements with family and friends. Your requested date is not a guarantee!


Information of person completing this form

Tip: Example: 000-000-0000

I would like to dedicate my baby(ies) on...

Your Baby(ies) Information

Other Family

If you would like to have pictures of your baby(ies) on the day of the dedication, please email them to at least one week before the day of the event.