BABY DEDICATION REQUEST
At least one parent must be a member of Springhill Missionary Baptist Church in order for dedication to be performed. Please allow at least 10 days for processing.
GENERAL CONTACT INFORMATION
Mother's Name
First Name
Last Name
Mother's E-mail Address:
Member of SMBC?
*
Yes
No
Father's Name
First Name
Last Name
Father's E-mail Address:
Member of SMBC?
*
Yes
No
Home Number
-
Area Code
Phone Number
Cell Number
-
Area Code
Phone Number
DEDICATION INFORMATION
Child's Full Name
First Name
Last Name
Child's Date of Birth:
-
Month
-
Day
Year
Date
God Parents Name(s):
Number of Guests:
Requested Dedication Date (1st Choice)
-
Month
-
Day
Year
Date
Service Time:
8:00 AM
10:45 AM
Requested Dedication Date (2nd Choice)
-
Month
-
Day
Year
Date
Service Time:
8:00 AM
11:00 AM
Submit
Should be Empty: