Baby Dedication Form

Psalm 127:3 (NLT)
Children are a gift from the Lord; they are a reward from him.

Baby Dedication is available for Ages: Birth-12 months.

***PLEASE NOTE: Dedications are officiated on the 3^rd Sunday of the month. Your dedication date is not confirmed until you receive a call from the Administrative Office.

Parents Name (Father)*
First Last
EMBC Member?*
- Yes
- No
Parents Name (Mother)*
First Last
Email*
Enter Email Confirm Email
Phone*
EMBC Member?*
- Yes
- No
Marital Status*
- Married
- Single
Child's Name*
First Last
Sex*
- Male
- Female
Child date of birth*
Date Format: MM slash DD slash YYYY
Your desired date*
Date Format: MM slash DD slash YYYY