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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
Boy
B
Girl
Which Service will you attend?
*
Which Service will you attend?
A
8:30 AM
B
10:30 AM
C
12:30 PM
Baby's Photo
*
Upload or take a photo of the highest resolution quality. No screenshots, please.
Click to choose a file or drag here
Size limit: 10 MB
Submit