Baby Dedication Form • Word of Life International Church

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!

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Information of person completing this form

First Name *

Last Name *

Mobile Number *

Tip: Example: 000-000-0000

Email Address *

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

First Choice *

Second Choice *

Your Baby(ies) Information

Baby(ies) Name(s) *

Select One *

Single Baby

Twins

Triplets

What does your baby(ies) name(s) mean?

Why did you give them that name?

Birth date of the baby(ies)

City, State, and Country of birth.

Other Family

Mother's Name

Father's Name

Grandparent's Name(s) (Maternal)

Will they be in attendance?

Yes

No

Grandparent's Name(s) (Paternal)

Will they be in attendance?

Yes

No

Will there be any godparents in attendance?

Yes

No

Name(s) of godparent(s)

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

Are you planning a celebration after the service? *

Yes

No