Baby Dedication Form
Please fill out the from to the best of your ability.
All dedications will be held during the third service at 12:30PM at the Valley Stream Campus, 10:30AM at the Spanish Campus, and at 10:30AM at the Rosedale Campus.

If you have any questions/concerns, please call the office: 516.561.6150.
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Name(s) of child(ren) being dedicated:
1. Child's First Name *
1. Child's Last Name *
Gender *
Date of Birth *
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/
DD
/
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2. Child's First Name
2. Child's Last Name
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
3. Child's First Name
3. Child's Last Name
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
4. Child's First Name
4. Child's Last Name
Gender
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Which dates are you interested in? *
*Spaces at each campus are limited. If you do not see the campus you are looking for, please select another date.
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