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Baby Dedication Request Form
Office of Communications
2019-07-05T14:54:05-04:00
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
*
Male
Female
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
*
Child Guidance, by Ellen G. White
Adventist Home, by Ellen G. White
The church gifts the family one of two books. Please select your preferred book option from the choices above.
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