Baby Dedication

Baby Dedication

Register your baby for our next Baby Dedication Day! If you are dedicating more than one baby, please fill out one application for each child.
Baby's Name*

First NameMiddle NameLast NameSuffix
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Father*

First NameLast Name
Mother*

First NameLast Name
Phone Number 1*
Phone Number 2
E-mail 1*
E-mail 2
Address*

Street Address

Street Address Line 2

CityState

Zip Code
"And when the days for their purification according to the law of Moses were completed, they brought Him up to Jerusalem to present Him to the Lord." Luke 2:22

Train up a child in the way he should go, Even when he is old he will not depart from it. Proverbs 22:6
Questions? (912) 764-4539 / info@mycrcc.com
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