Baby Dedication Request Form

Child's Full Name *

Child's Date of Birth *

Mother 's Full Name *

Father's Full Name *

Email Address *

Contact Phone Number *

Please select Baby Dedication Sunday *

Note: Baby Dedication only on 2nd & 3rd Sundays. Please contact the church office to see if the date you chosen is available.

Are the Child's parents members of Good Shepherd Baptist Church? *YesNo

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