Abundant Life Church - Macon

Baby/Child Dedication Form

First Name (Parent #1)

Last Name (Parent #1)

First Name (Parent #2)

Last Name (Parent #2)

Are you married?
YES
NO

Do you live together?
YES
NO

Phone Number

Email

Address 1

Address 2

Country

City

State

Zip/Postal Code

How many children will you be dedicating?
1
2
3
More than 3

Child's Full Name (first, middle, last)

Child's Birthdate (mm/dd/yy)