Baby Dedication Registration

Step #1 – Information For Parents

• Please note that all baby dedications will be done during our second service (10:45 AM service), on the specified Sunday. 
• Dedications are done after worship during the announcements (before the message).
• Please click the blue button below to download a PDF explaining what a baby dedication is all about. 
• We ask that you download and read over this document carefully, and contact one of the pastors here at Grace if you have any questions.

Step #2 – Registration Form

Child's Full Name*

First Middle Last

Child's Date Of Birth*

MonthMonth123456789101112

DayDay12345678910111213141516171819202122232425262728293031

YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Place Of Birth*

City and state.

Gender*

Male

Female

Father's Information

Father's Name*

First Last

Home Address*

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Contact Phone*

Email Address*

Are you legally married?*

Yes

No

Have you attended a Discovery Seminar at Grace?*

Yes

No

Have you attended a Kingdom Families Seminar at Grace?*

Yes

No

What is your date of salvation?*

The date you entered into a relationship with the Lord Jesus Christ.

MonthMonth123456789101112

DayDay12345678910111213141516171819202122232425262728293031

YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Mother's Information

Mother's Name*

First Last

Home Address*

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Contact Phone*

Email Address*

Are you legally married?*

Yes

No

Have you attended a Discovery Seminar at Grace?*

Yes

No

Have you attended a Kingdom Families Seminar at Grace?*

Yes

No

What is your date of salvation?*

The date you entered into a relationship with the Lord Jesus Christ.

MonthMonth123456789101112

DayDay12345678910111213141516171819202122232425262728293031

YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

Agreement

I have read the material provided above (the downloadable PDF), and agree to a Christian dedication for my child, and pledge to fulfill what is expected of me as a parent according to Scripture.*

Please check each of the boxes below, reflecting your understanding and agreement of each of these conditions.

I understand that dedication doesn’t mean my child will automatically go to heaven when he or she dies.

I understand that my child is not becoming a member of Grace Community Fellowship or the Christian church at large.

I understand that by dedicating my child, I am committing before God that I will live in a manner pleasing to Him. I believe in and uphold the Word of God, the Bible, as the supreme authority and standard for my life, recognizing it is placed above secular standards and ways.

Father's Signature*

Please use your mouse (or finger, if on a mobile device) to draw your signature in the box below.

Mother's Signature*

Please use your mouse (or finger, if on a mobile device) to draw your signature in the box below.

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