BABY DEDICATION

BABY DEDICATION FORM

If you would like to have a baby/child dedicated at Kingdom Empowerment, please submit one form per child. Please be advised that your requested Baby Dedication date is not confirmed until you have received confirmation from our Administrative Staff.

* Indicates required field

Sunday Date Requested *

Location Requested *

Estimated # of Guests *

CHILDS FULL NAME *

Date of Birth month/day/year *

FATHERS FULL NAME *

MOTHERS FULL NAME *

Are Parents Partners of KECC? *

yes no Considering

Are there any God Parents? *

Yes No

God Parent Name *

God Parents Name *

Who will be Participate in the Baby Dedication *

Any Special Requests? *

Point of Contact for Dedication *

Cell Phone Number *

Email *

Submit