Thank You for Submission
Thank you for your interest in participating in our Baby Dedication Ceremony for Sunday, May 21st during our 10:30AM worship service. God has blessed you with a very special gift, a miracle, and we join you in your excitement. Please fill out the information below for the event.

You are welcomed to invite family, friends, and godparents to share in this special day, as we dedicate your little one back to the Lord.  We look forward to this special day. May God continue to bless you and your family!
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Email *
What is your Child's Full Name? *
 (First Name MI. Last Name) This will be used for your child's certificate.
What is your child's age? *
What is your child's DOB? *
MM
/
DD
/
YYYY
Please confirm your child's gender. *
Please provide the Parents Full Names. *
(e.g. Christopher & Christina Spells)
Please provide your primary phone number. *
Are you a partner of Harvest Church? *
Note: This question is for informational purposes only.
Please comment below with any additional questions or concerns you may have about the course - we are here to help!
A copy of your responses will be emailed to the address you provided.
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