forms - Immanuel Seventh-day Adventist Church

Baby Dedication Request form

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Name of Baby

Birthdate

Weight at Birth

(lb)

Hospital / Place of Birth

Parents' Information

Mother's Name

Mother's Email

Mother's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mother's Phone Number

Father's Name

Father's Email

Father's Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Father's Phone number

Upon Submission;

A few days before the dedication service, the pastor(s) will call to set up an appointment with the parents to review the details of the dedication and plan for the service.

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