Baby Dedication Request Form

PLEASE NOTE: BABY DEDICATIONS HOLD ON THE 4TH SUNDAY OF EVERY MONTH AT JESUS HOUSE SCARBOROUGH

This is a request form to dedicate your baby dedication at Jesus House Scarborough during one of our Sunday Services. Kindly fill out the information below:

Email

*

This address will receive a confirmation email

What is the babys' full name?

*

What is your baby's gender?

*

Please select one option.

Male Female

Please indicate family name? (e.g Mr John & Mrs Hannah Scarborough)

*

Phone

*

Please choose preferred date for the dedication

*

Please select one option.

Sunday January 28th Sunday February 25th Sunday March 24th Sunday April 28th Sunday May 26th Sunday June 23rd

Which of our Sunday Services will you be attending?

*

Please select one option.

First Service (9am - 11am) Second Service (11am - 1pm)

Will you be inviting guests? If yes, how many?

*

Please select one option.

None 1 - 5 guests 6 - 10 guests 10 - 20 guests 20 or more guests

Description

PLEASE NOTE: BABY DEDICATIONS HOLD ON THE 4TH SUNDAY OF EVERY MONTH AT JESUS HOUSE SCARBOROUGH

Please Fix the Following

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