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Baby Dedication Registration Form

Dedication Service, September 21, 2025.

Both Parents' First and Last Names

Contact Phone Number

Baby's Full Legal Name

How would you like it to appear on the certificate.

Baby's Date of Birth

Baby's Gender

Baby's Gender
A
B

Which Service will you attend?

Which Service will you attend?
A
B
C

Baby's Photo

Upload or take a photo of the highest resolution quality. No screenshots, please.