Father's Full Name (required)
Mother's Full Name (required)
Phone Number (required)
Child's First, Middle, & Last Name (required)
Child's Gender (required)
Date of Birth (required)
City/State of Birth (required)
Address to send dedication certificate to: (required)
Are you a regular attender of Gospel Lighthouse Church? (required)
I understand that I must read theLighthouse Baby and Child Dedication booklet, as well as attend a brief informational meeting at 9:20am on the morning of the dedication service. (The booklet can be obtained in the church foyer or by sending an email to firstname.lastname@example.org to request an electronic copy.)
Download Baby Dedication Booklet Here
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