Mount Olive Seventh-day Adventist Church
Mount Olive Seventh-day Adventist Church

Baby Dedication Request Form

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Baby Dedication Request Form

If you would like to have a baby/child dedicated at Mount Olive Seventh-day Adventist Church please submit one form per child. (Please be advised that your requested Baby Dedication date is not confirmed until you have received confirmation from the clerk).
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Child’s Name include first, middle, last:
Gender:

Requested Month of Dedication:

Your first date preference.
Your second date preference.

PARENT’S INFORMATION

Mother first and last name:
Father first and last name:
Address
Are one or both parents baptized Seventh-day Adventist?
Are one or both parents’ members of Mount Olive?
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