Union Baptist Church - Baby/ Child Dedication Request Form

We are honored to partner with you in dedicating your child to the Lord. Please complete this form and return it to the church office or ministry leader.

Your name *

Email address *

Child's Information

Full Name of Child: *

Birthdate

Gender

City & State of Birth *

Parent/Guardian #1 Full Name

Phone number

Email: *

Parent/Guardian #2 Full Name

Phone number *

Email: *

Address *

Are you a member of Union Baptist Church? *

Yes

Attender of Another Church (please list if so)

Dedication Date/ Preferred Dedication Date:

(Dedications typically occur during Sunday worship service. Date is subject to approval and confirmation.)

Names of Additional Family Members Participating (if any):

Would you like to share a brief message or scripture during the service?

(If yes, please email this in advance to the church office.)

Yes

Optional: Personal Reflections

Why is this dedication meaningful to your family?

Next Steps

After your form is submitted, someone from our team will reach out to confirm the date and walk you through what to expect.
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Thank you for allowing Union Baptist Church to share in this special moment with your family.