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Baby Dedication

* Indicates required field.

For Your Baby Dedication, please provide the following information listed in  the form below. 

A copy of the Child's Birth Certificate is required.

Please note, Baby Dedication Services are conducted the Last Sabbath (Saturday) of each Month.  

 


dd/mm/yyyy


First

Last
 


Address 1

Address 2

City

Province/State


Postal Code

Country
 


First

Last
 


First

Last
 

dd/mm/yyyy


First

Last
 
Boy
Girl