Baby Dedication Request Form

Parents and Guardians, Congratulations on the birth of your little one! We are honored that you chose to have your child’s dedication service at “The Garden.” Please answer the questions on this request form and return it along with a picture of your child to Thea Holness, Clerk, (Phone 919-389-1933). The information you provide will be used for the dedication ceremony.

Child's Full Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Place of Birth*
(i.e. Wake Med Hospital, Raleigh, NC)
Child's Photo
Please upload a photo of your child.
Mother's Name
First Last
Father's Name
First Last
Email*
Phone*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Child's Sibling's Names
Maternal Grandparent's Names
Spiritual Parent's Names
Please provide two date options for the Baby Dedication Ceremony. The Clerk will share the dates with the Pastor, who will make the final decision. Once the date is selected the Clerk will share the confirmed date with the parents/guardians.
1st Date Option*
Date Format: MM slash DD slash YYYY
2nd Date Option*
Date Format: MM slash DD slash YYYY
OUR GIFT TO YOU*
The church gifts the family one of two books. Please select your preferred book option from the choices above.
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