Baby Dedication Request Form This form is to request a baby's dedication to the Lord. Baby dedications are conducted on the 2nd Sunday of each month, except for the month of October and November where it will be conducted on the 3rd Sunday. Dedications must be scheduled a minimum of 6 weeks prior to the requested date. Requestor Name*Contact Email address* Enter Email Repeat Email Contact Phone Number*Address* Street Address Address Line 2 Town State / Province / Region ZIP / Postal Code Requested Dedication Date Date Format: MM slash DD slash YYYY Full Name of Baby*Baby's date of birth Date Format: MM slash DD slash YYYY What is the Baby's City and State of Birth*Mother's Full Name*Is mother a member of New JerusalemYesNoFather's Full Name*Is father a member of New JerusalemYesNoGodmother's Full NameGodfather's Full NameEmailThis field is for validation purposes and should be left unchanged.
