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Baby Dedication Request Form

If you have more than one baby/child to be dedicated, please submit one form per child.  Your requested Baby Dedication date is not confirmed until you have received confirmation from Miracle Temple Ministries Administration.

PARENT INFORMATION*

Use Mother's Address?

DATE OF DEDICATION*

Please note that Baby Dedication Services are held the Second Sunday of each month.  

Completed Request Forms must be submitted 2 weeks before your desired/requested date.

CHILD/INFANT'S INFORMATION*

Sex of Child
Who will participate in the Baby Dedication Ceremony?

GOD-PARENT INFORMATION*

HOW DID YOU HEAR ABOUT MIRACLE TEMPLE MINISTRIES?

You may also download and fill this form: 

Please return completed form to the Administrative Representative/Office at miracletempleministriesca@hotmail.com

Thanks for submitting your request to have your child dedicated at Miracle Temple Ministries. We will be in touch soon.

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