Child's Name* First Last Birth Date* Date Format: MM slash DD slash YYYY (Must be 2 years and under) Gender* Male Female Point of Contact Name* First Last Relationship to the Child*MotherFatherGuardian Contact Number* Email Address* Please choose the date of the Baby Dedication Ceremony and Parent Baby Dedication Class you would like to participate in.*Baby Dedication Ceremony and Parent Baby Dedication Class slots are filled on a first-come, first-served basis. Class: Saturday, February 15th at 10:00 am / Ceremony: Sunday, February 16th at 11:30 am Please choose the date of the Baby Dedication Ceremony and Parent Baby Dedication Class you would like to participate in.*Baby Dedication Ceremony and Parent Baby Dedication Class slots are filled on a first-come, first-served basis. Class: Saturday, February 15th at 10:00 am / Ceremony: Sunday, February 16th at 11:30 am Class: Saturday, May 16th at 10:00 am / Ceremony: Sunday, May 17th at 11:30 am Class: Saturday, August 15th at 10:00 am / Ceremony: Sunday, August 16th at 11:30 am Class: Saturday, November 14th at 10:00 am / Ceremony: Sunday, November 15th at 11:30 am By submitting this Baby Dedication Form, you acknowledge release of any photographs and video that may be taken of you, your child or your family during this event by Harvest Life Church or Lyle and Deborah Dukes Ministries to be used for our purpose. Captcha(Please type the letters into the field above!)
