Baby Dedication • Light of the World Family Worship Church

Baby Dedication Request Form

Please answer all the qusetions below.

Father's First Name

Father's Last Name *

Mother's First Name *

Mother's Last Name *

Membership Status *

Member

Non-Member

Child's Full Name *

Date of Birth *

Gender *

Dates Requested for Dedication (All dedications are done during our Sunday Morning 10AM Service. Please choose dates later than 3 weeks from submission of form.)

1st Choice *

2nd Choice *

3rd Choice *

Contact Information

Name *

Home Address *

City, State, Zip: *

Phone Number *

Email Address *

You will be contacted with the approved Sunday Date within 2 weeks of your request. Thank You!