Baby Dedication Registration

Baby Information

Baby's First Name

Baby's Middle Name

Baby's Last Name

Date of Birth

Gender

Place of Birth

Special Notes about Baby

Father's Information

First Name

Last Name

Email

Phone Number

Father is a City Life member

Membership Number

Mother's Information

First Name

Last Name

Email

Phone Number

Mother is a City Life member

Membership Number

Address & Contact Information

Home Address

City

Postal Code

Country

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Dedication Preferences

Preferred Dedication Date

Optional - Leave blank for next available date

Preferred Service

Special Requests

I consent to photography during the service

I consent to video recording during the service

Church Information

We are regular attendees of City Life Church

How long have you been attending?

Previous Church (if applicable)

Both parents have been baptized

Faith Commitment Statement

Consent & Agreement

Please review all information carefully before submitting. You will receive a confirmation email once your registration is submitted. Our pastoral team will contact you within 2-3 business days to schedule your baby's dedication.

Data Processing Consent *

I consent to City Life Church collecting and processing this information for the purpose of baby dedication arrangements. I understand that my data will be handled according to GDPR regulations and the church's privacy policy.

Newsletter Subscription

I would like to receive family-focused newsletters and updates from City Life Church

Family Ministry