Baby Dedication - Church Macedonia LA

Date Requested for Dedication*

Date Requested for Dedication 2*

Is there any significance or something special about the date(s) requested for your family?

Name of the Child being blessed*

First Middle Last

Sex*

Date of Birth*

Location of Birth*

City State / Province / Region

Tell us something special or unique about your child

(i.e. John is currently learning to crawl. or Olivia was a premie and is now a professional at blowing bubbles.)

Mother's Name*

First Middle Last

Phone Number*

Is mom a member of Macedonia?

Will mom attend the dedication?*

Dad's Name*

First Middle Last

Phone Number*

Is dad a member of Macedonia?

Will dad attend the dedication?*

Who will we get in touch with?*

Email address*

Comments

This field is for validation purposes and should be left unchanged.