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BABY DEDICATION REQUEST
PRAYER REQUEST
FORMS
BABY DEDICATION FORM
Baby Dedication Form
CHILD'S INFORMATION
Child's Full Name
*
Child's Date of Birth
*
Name of Birth Hospital
*
Gender
*
Male
Female
Requested Month of Dedication
*
January
February
March
April
May
June
July
August
September
October
November
December
(2nd & 4th Sabbaths)
Alternate Month if not available
*
January
February
March
April
May
June
July
August
September
October
November
December
End Section
PARENT'S INFORMATION
Mother's Full Name
*
Father's Full Name
*
Address
*
Contact Phone Number
*
Email Address
*
Mother's Work Number
Father's Work Number
Is at least one parent a part of a ministry at Patmos Chapel?
*
Yes
No
This is not a condition for baby dedication
Is at least one parent a member of Patmos Chapel?
*
Yes
No
This is not a condition for baby dedication
Due to the spiritual nature of the questions asked during the Baby Dedication Ceremony, it is helpful for the Pastoral Team to understand the marital and living situation of both parents.
Which of the following best describes the parents’ marital and living situation?
*
Married and living together
Never married and living together
Never married and not living together
Divorced
Widowed
Separated
Other (briefly explain)
Other (briefly explain)
End Section
GODPARENTS INFORMATION
Godmother's Full Name
Godfather's Full Name
End Section
Who will participate in the ceremony?
*
Both parents
Mother only
Father only
Godparent(s)
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