BABY DEDICATION REQUEST FORM

Are you a member or regular attender of One Church @ 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.

July 13, 2025 July 20, 2025 July 27, 2025 August 10, 2025 August 17, 2025 August 24, 2025 August 31, 2025 September 14, 2025 September 21, 2025 September 28, 2025

Service Time Requested

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Please select one option.

8:30 am 10:30 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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Participation: To account for spacing and consideration of all guests, individuals allowed on stage during the dedication are limited to Parents, Siblings, Grand Parents, and God Parents of the child. Thank you.

Number of Seats to be reserved for family/guests

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Baby Picture Upload

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Upload (8MB)

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BABY DEDICATION REQUEST FORM

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