Request for Baby Dedication - Bethesda Christian Church

Phone number

Name of Child/Children *

First Middle Last and Suffix

Child's Gender

Male 1

Female 1

Male 2

Female 2

Male 3

Female 3

Mother's Name *

First and Last

Mother's Marital Status *

Father's Name

First and Last

Father's Marital Status *

How long have you attended Bethesda Christian Church?

Are you a member of Bethesda Christian Church?

Do both parents live in the same home?