Grace Baby Dedication Request • Grace Apostolic Church

Grace Baby Dedication Request

If you would like to have a Baby/Child dedicated at Grace Apostolic Church, please submit one form per child. Please be advised that your requested preferred date(s) will not be confirmed until you have received confirmation from the Admin Team as well as a consultation with Bishop David E. Johnson.

Child's Information

First Name *

Preferred Name

Last Name *

Middle Name or Initial *

Date of Birth *

Gender *

Parent's Information

Father's First & Last Name *

Mobile Number *

Email Address *

Are one or both parents members of Grace Apostolic Church? *

Both Parents

One Parent

Still Considering

Mother's First & Last Name *

Mobile Number *

Email Address *

Are one of both parents born again of Water and Spirit (St. John 3:5)? *

Need transportation assistance?

Home Address *

Home Address Line 2

Home City *

Home State *

Home Zip Code *

Home Country

Dedication Request

Desired Dedication Date (Option 1) *

Desired Dedication Date (Option 2) *

Desired Dedication Date (Option 3) *

Desired Service Timeframe *

10:00 a.m.

11:30 a.m.

Due to the spiritual nature of the questions asked during the Ceremony, it is helpful for the Pastor to understand the marital and living situation of both parents. Which of the following best describes the parents' marital and living situation? *

Who will participate in the Baby Dedication Ceremony? *

Both Parents

Father Only

Mother Only

Godparent(s)

Family