Page 39 | House of Deliverance COG

BABY DEDICATION FORM

Thank you for your interest in Baby Dedication. Please complete this form so we can prepare for your child’s dedication. A member of our ministry team will follow up with you.

Date (Required)

Name of Child (Required)

Gender (Required)

Date of Birth (Required)

Place of Birth (Required)

Hospital (Required)

Name of Parent(s) (Required)

Email (Required)

Your Address (Required)

Godmother(s) (Required)

Godfather(s) (Required)

Requested Date of Dedication (Required)

Please Note: Prior to the dedication, we ask that you provide Sis. Tanesia with a photo of the child for display on the day of the dedication.

Baby Dedications take place on the Second Sunday of every month. These dates are also subject to change in light of special events and circumstances. Once this form has been completed, please return to the church secretary: Sis. Tanesia at least one month

Any further questions/ inquiries can be expressed to Sis. Tanesia at 617-460-3055/tanesiam1@gmail.com.

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House of Deliverance COG

424 Washington Street

Dorchester, Ma 02124

617-265-1421

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