Calvary - Baby Dedication

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	Full Name of Child * Name of Mother * Name of Father * Sex of Child * Date of Birth * (MM/DD/YYYY) Hospital of Birth * City of Birth * Mother's Maiden Name * Which Service would you like to have your child dedicated in * Phone Number * Email Mailing Address * Would you like a particular minister to dedicate your child? * YesNo Which minister would you like to perform your child's dedication Need assistance with this form?

Calvary Pentecostal Assembly
127 Hespeler Rd. Cambridge, Ont., Canada. N1R 3G9
519.621.6310 | fax 519-621-6771
© Calvary Pentecostal Assembly 2010