Baby Dedication Form

1st Parent's First Name

Please enter the first name of the first parent.

This field is required.

1st Parent's Last Name

Please enter the last name of the first parent.

This field is required.

1st Parent's Phone

Please enter your phone number.

This field is required.

1st Parent's Email

Please enter a valid email address.

This field is required.

1st Parent's Address

Please enter the complete address of the first parent.

Address Line 1

This field is required.

Address Line 2

This field is required.

City

This field is required.

State

This field is required.

Postal Code

This field is required.

Country

2nd Parent's First Name

Please enter the first name of the second parent.

This field is required.

2nd Parent's Last Name

Please enter the last name of the second parent.

This field is required.

2nd Parent's Phone

Please enter the second parent's phone number.

This field is required.

2nd Parent's Email

Please enter a valid email address for the second parent.

This field is required.

Child's Full Name

Please enter the full name of the child being dedicated.

This field is required.

Birthplace (City/State)

Please enter the birthplace of the child.

This field is required.

God Parents

Please enter the names of the God Parents if applicable.

Have you accepted Jesus Christ as your personal Lord and Savior?

Please choose yes or no.

Yes

This field is required.

How long ago?

Please specify how long ago you accepted Christ.

This field is required.

How long have you been attending New Beginning C.F.C.?

Please specify the duration of your attendance.

This field is required.

What does having your baby dedicated mean to you?

Please share your personal thoughts on the dedication.

This field is required.

Is this the first child you’ve had dedicated at New Beginning C.F.C.?

Please choose yes or no.

Yes

This field is required.