Baby Dedication Registration

Child Name *
Child Name
Child Gender *
Child Birthday *
Child Birthday
i.e. Winnie Palmer Hospital, Tree of Life Birth Center, Home
Parent Phone *
Parent Phone
Father Name
Father Name
Mother Name
Mother Name
Email 3 photos *
I understand that I must email 3 photos of my child to jbass@eastcoastbelievers.org within 24 hours of registering. One photo will be selected for the baby dedication service.
Pastoral Meeting *
ECBC wants to partner with you in preparing for your child's dedication. Please check this box to acknowledge that you agree to schedule a pastoral meeting prior to the dedication service.
Please list all family members and friends that will be joining you at this event (siblings, grandparents, friends, etc.)
Are there any family dynamics that we should be aware of as we plan for your dedication (i.e. divorce, foreign language, etc.)?