Baby Dedication

• Please fill out the fields below with info about your family and your child.
• Child's Full Name *
• Child's Date of Birth *
• Father's Full Name *
• Mother's Full Name *
• Email *
• When would be a good time to meet with Pastor Ray? *
• Is there anything you would like us to know about your child? (special requests, needs, etc.)

Submit

• Thank you for filling out this request. We will get back to you shortly.
• This box is for spam protection - please leave it blank: