Baby Dedication – Praise Community Church

Baby Dedication Registration

Parents' Names:
Mother's Name:*
First Last
Father's Name:*
First Last
Email*
Mobile Phone*
Address*
Street Address City State ZIP Code
Child's Information:
Please provide the information of the child you would like to have dedicated.
Child's Full Name:*
As you would like it to appear on the certificate.
First Last
Child's Date of Birth*
Child's Gender*
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