BABY DEDICATION REQUEST FORM

Are you a member or regular attender of Harvest Point?

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Please select one option.

Yes No

CHILD’S INFORMATION

Baby/Child First and Last Name

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Date of Birth

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Gender

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Please select all that apply.

Male Female

Requested Sunday of Dedication. (Please note dates are subject to availability and space)

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Please select one option.

March 31, 2024 June 30, 2024 September 29, 2024 December 29, 2024

Service Time Requested

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Please select one option.

8:00 am 9:30 am 11:00 am

PARENTS INFORMATION

Father's Name

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Mother's Name

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Email

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This address will receive a confirmation email

Phone

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Address

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GRANDPARENTS INFORMATION (OPTIONAL)

Maternal Grandmother’s Name

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Maternal Grandfather’s Name

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Paternal Grandmother’s Name

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Paternal Grandfather’s Name

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GODPARENTS INFORMATION (OPTIONAL)

Godmother’s Name

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Godfather’s Name

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Who will participate in the Baby Dedication Ceremony?

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Please select one option.

Both parents Mother only Father only Godparent(s) Grandparents Option

Please indicate those outside the list provided who will join you on the stage. (Please list with commas in between; Max 3 people other than parents)

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Baby Picture Upload

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Upload (8MB)

Description

BABY DEDICATION REQUEST FORM

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