Bridgeland Seventh-day Adventist Church

Tuesday . February . 7 . 2012

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Baby Dedication Request Form

Please use the below form to request dedication for your baby. * All fields are required.

Father's Full Name

Mother's Full Name

Baby's Full Name
(including middle name)

Baby's Date of Birth
(mm/dd/yyyy)

Place of Birth
(e.g. Name of Hospital...etc)

Preferred Dedication Date

Contact Email Address

Contact Phone Number

Comments

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