First Baptist Church Chanute - Child Dedication

Baby Dedication Signup Form

The Bible says that all professing Christians should be baptized (Matthew 28:18-20). Whether you've been following Jesus for a long time and never got baptized or are a new Christian, we would be honored to baptize you!

Child's Full Name

Child's Gender

Child's Birthdate

Hospital where child was born:

Mother's Name

Father's Name

Email Address

Phone Number

Address 1

Address 2

Country

City

State

Zip/Postal Code

Are one or both parents born again Christians?
Yes
No
Still Considering
Unsure what this means

Are one or both parents members of FBC Chanute?
Yes
No

Due to the spiritual nature of the questions asked during the Baby Dedication 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?
Married and living together
Never Married and not living together
Never married and living together
Divorced
Separated
Other

If you chose other in the above question, please explain:

Will your baby have Godparents?
Yes
No

Godmother's Name

Godfather's Name

Who will participate in the Baby Dedication Ceremony (Check all that apply)?
Both Parents
Mother Only
Father Only
Godparents

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Baby Dedication Signup Form

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