BABY DEDICATION

If you would like to have a baby dedicated at GMBC, please submit one form per child.

Please be advised that your requested Baby Dedication date is not confirmed until you have received confirmation from a Galilee Missionary Baptist Church representative.

CHILD'S INFORMATION

Child's Full Name

Requested Month of Dedication

Service Time

Gender

Male     Female

Date of Birth

/ /

Hospital where child was born

PARENT'S INFORMATION

Mother's Name

Father's Name

Full Address
(Please include City,
State and Zip)

Marrital Status

Home Phone Number

Father's Work Number

Mother's Work Number

Email Contact

GODPARENT'S INFORMATION

Godmother's Name

Godfather's Name

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