Baby Dedication Form

Parent's Name(s)

Email Address

Primary Phone Number

Street Address, City, State, Zip

How many children will be dedicated? How many children will be dedicated? *12 +

Child's Name and Age

Child 2 Name and Age

Child 3 Name and Age

Child 4 Name and Age

I give permission to Faith4life to share my photos I give permission to Faith4life to share my photos *YesNo