Baby Dedication Form

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Baby Dedication Form

Please complete the attached form to request your baby dedication.

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* Indicates required question

Email *

Your email

Please provide at least 2 dates for dedication service. *

Your answer

Parent Information

Mother's Name *

Your answer

Is the mother a member of St. Paul Chapel Baptist Church? *

Yes

No

Father's Name *

Your answer

Is the father a member of St. Paul Chapel Baptist Church? *

Yes

No

Primary Address

Your answer

City, State, Zip Code

Your answer

Phone Number *

Your answer

Child Information

Child's Name *

Your answer

Date of Birth *

Your answer

Gender *

Female

Male

Godparent Information

Godmother(s) Name *

Your answer

Godfather(s) Name *

Your answer

Send me a copy of my responses.

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