Love, Joy, Peace...
Baby Dedication Form


Name (Required)
 
Email Address (Required)
Contact Phone Number
Baby's First Name
Baby's Middle Name
Baby's Last Name
Baby’s Gender
Male
Female
Baby's Date of Birth
Mother's First and Last Name
Father's First and Last Name
Will Grandparents attend the dedication?
Godmother’s First and Last Name
Godfather’s First and Last Name
Bethel COGIC - Monroe
1800 Parkview Drive, Monroe, Louisiana 71201
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