Baby Dedication

Sunday, February 16 | 10am

* Indicates required field

Do you plan to participate? *

Yes No Maybe

# of children to be dedicated *

Child's Name *

First

Last

If dedicating more than one child, please list their names & ages in box below.

Child's Age *

Email *

Parents Name(s) *

First

Last

Phone Number *

If dedicating more than one child, please list additional names & ages: *

Submit

ADDRESS

P.O. Box 685
3495 Hwy 69
Jackson, AL 36545

Office: Mon-Thurs 8am-2pm

251-246-2701