St. Paul Baptist Church - Infant Dedication

Application for Infant Dedication and Certificate

Infant First Name

Infant Last Name

Gender

Mother's Name

Father's Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Are the parents of the infant both members of St. Paul?

Yes

If not, please list church affiliation of Parents.

Date of Birth

Place of Birth (Hospital, City, State)

Godmother's Name

Godfather's Name

Are the Godparents both members of St. Paul?

Yes

If not, please list church affiliation of Godparents

Requested Dated of Dedication

Do you wish to purchase a Keepsake Baby Bible? (Price $15)

Yes

Type your new text here.

FOR CHURCH USE ONLY:

Certificate Completed

Approval