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BABY DEDICATION INFORMATION FORM
Requested Date of Dedication (MM/DD/YYYY)
To help us ensure we have all the correct information for the Dedication Certificate and our records, please complete the following:
Child's Full Name
Date of Birth (MM/DD/YYYY)
Gender
Boy
Girl
Mother's Name
Father's Name
Child's Godparent(s)
Address 1
Address 2
Country
City
State
Zip/Postal Code
Email
Phone Number
To help our church family get to know you a little bit better on Dedication Sabbath, please tell us a bit about yourselves:
Your occupation(s):
How long have you attended CapCity?
How did you hear about CapCity? (attended since birth, invited by friends, etc.)
What ministries, past and/or present, are you involved:
Tell us something about your child who is being dedicated. (Always smiling, miracle baby...)
Our Child Dedication Team would consider it an honor to pray for any requests you may have.
Please complete and forward this form along with a close up photo of your child to: Serita Katz: church.administrator@capitolcitysda.org
Submit