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Baby Dedication Request

Baby's Full Name(*)

Please let us know your name.

Baby's Gender(*)

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Birth Date(*)

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Father's Full Name(*)

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Mother's Full Name(*)

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Place of Birth(*)

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(City, State, County)

Dedication Request Date(*)

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Baby Dedications are the 3rd Sunday of each month.

Dedication Request Time(*)

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Please select one of the available times for your baby dedication.

Requestor, if other than the Parents

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Best Phone Number to Reach You(*)

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Email Address(*)

Please let us know your email address.

Please look for a phone and/or email confirmation of the date and time for your baby's dedication. You are also welcome to call the Front Office at 412-441-1800 Ext. 0

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