Baby dedication request form

Father's full name *

Mother's full name *

Baby's full name *

Godparents' full names (if any) *

Baby's date of birth *

Baby's date of birth

YYYY

About your baby *

About five lines to be read by pastor during ceremony

Special guests

Any family or friends you would like the pastor to mention during the ceremony.

Scripture reference

Is there a specific bible passage you would like read?

Do you agree with the UCC family covenant? *

Yes

Email Address *

Phone *

Phone

(###)

###

####

Additional information