Dedication Form

Name*
First Last
Date of Birth
Hospital/Facility of Child’s Birth
City / Province
Country
Parent(s) / Guardian
Mother's Name
First Last
Email Address*
Phone Number*
Father's Name
Godparent(s) information (complete if applicable)
ADDRESS FOR DEDICATION CERTIFICATE (NOTE: In the unlikely event the dedication certificate is not presented at child’s dedication, please provide a mailing address.)
Godmother's Name
Godfather's Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Pre-Dedication Class 2023
These classes are mandatory for parents and proceed the dedication dates. We encourage you to select a date to attend the session.
Dedication Dates 2023
Please select the date for your Child's Dedication
You May Also: Download The Baby Dedication Form Here

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Light and Life Ministries Toronto 2021

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Parent(s) / Guardian