Capitol City Seventh-Day Church

Requested Date of Dedication (MM/DD/YYYY)

To help us ensure we have all the correct information for the Dedication Certificate and our records, please complete the following:

Child's Full Name

Date of Birth (MM/DD/YYYY)

Gender

Mother's Name

Father's Name

Child's Godparent(s)

Address 1

Address 2

Country

City

State

Zip/Postal Code

Email

Phone Number

To help our church family get to know you a little bit better on Dedication Sabbath, please tell us a bit about yourselves:

Your occupation(s):

How long have you attended CapCity?

How did you hear about CapCity? (attended since birth, invited by friends, etc.)

What ministries, past and/or present, are you involved:

Tell us something about your child who is being dedicated. (Always smiling, miracle baby...)

Our Child Dedication Team would consider it an honor to pray for any requests you may have.

Please complete and forward this form along with a close up photo of your child to: office.manager@capitolcitysda.org

BABY DEDICATION INFORMATION FORM