Baby Dedication Registration Information For Parents Please click the title below to download this PDF. Baby Dedication: Information For Parents 1 file(s) 87.24 KB Download Registration Form Child's Full Name* First Middle Last Date Of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Time Of Birth* : HH MM AM PM Place Of Birth*City and state.Sex of Child*MaleFemaleFather's InformationFather's Name* First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone*Email Address* Have you attended a Discovery Seminar at Grace?*YesNoHave you attended a Kingdom Families Seminar at Grace?*YesNoAre you legally married?*YesNoWhat is your date of salvation?*The date you entered into a relationship with the Lord Jesus Christ.Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Mother's InformationMother's Name* First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone*Email Address* Have you attended a Discovery Seminar at Grace?*YesNoHave you attended a Kingdom Families Seminar at Grace?*YesNoAre you legally married?*YesNoWhat is your date of salvation?*The date you entered into a relationship with the Lord Jesus Christ.Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgreementI 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.PhoneThis field is for validation purposes and should be left unchanged.
