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 July 28th Sunday Aug. 25th Sunday Sept. 22nd Sunday Oct. 27th Sunday Nov. 24th Sunday Dec. 22nd

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

Do you have any intention of distributing food? (Not compulsory, we want to know for planning purposes)

*

Please select one option.

Yes No

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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