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Baby Dedication Form
Your name
*
Last name
Email address
*
Mother's Information
Please fill out the information for the mother of the child.
Mother's First & Last Name
*
Phone number
Phone type
Mobile
Home
Work
Other
Email Address
*
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Father's Information
Please fill out the information for the father of the child.
Father's First & Last Name
*
Phone number
*
Phone type
Mobile
Home
Work
Other
Email Address
*
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Baby's Information
Please fill out the information for the child being dedicated.
Baby's First & Last Name
*
Birthdate
*
Date
Sex of the baby
*
Select…
Male
Female
God Parents First & Last Names
*
Type n/a if there aren't any
Acknowledgment
Please acknowledge the following questions below
I acknowledge the baby's dedication will be during 10:00 am Sunday Service and as the parent(s) we will be present no later than 10:15am.
*
I acknowledge that PTI staff will be taking photos and videos during the baby dedication ceremony and all photos and videos taken by PTI staff belong to PTI and will be used for marketing collateral and on social media at any point that PTI chooses.
*
I am a member of PTI
*
Your response does not effect the dedication-- for office use only
Select…
Yes, I am
No, I am not
Dedications are held on the 4th Sunday of each month. Please choose a date:
*
Select…
April 26, 2026
May 24, 2026
June 21, 2026 (Father's Day)
July 26, 2026
August 23, 2026
September 27, 2026
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