South Bay Community Church

Contact >> @SOBCC.ORG | Scheduler | e-Forms | Directory

INFANT DEDICATION REQUEST

* Required

First Name *

Last Name *

Email Address *

Address Line 1 * Address Line 2
City *	State *	Zip Code *

Child #1, Full Name: *
Child's Birthdate: *
Gender: *	Male Female
Child #2, Full Name:
Child's Birthdate:
Gender:	Male Female
Child #3, Full Name:
Child's Birthdate:
Gender:	Male Female
Child #4, Full Name:
Child's Birthdate:
Gender:	Male Female
Mother's Name? *
Is the Mother a member of SBCC? *	Yes No
Father's Name? *
Is the Father a member of SBCC? *	Yes No
What are the 'primary' Godparent's name(s)? (if any)

THIS FORM MUST BE SUBMITTED AT LEAST THREE WEEKS PRIOR TO THE SUNDAY YOU'D LIKE TO HAVE YOUR CHILD DEDICATED.