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Baby Dedication Request Form

If you have more than one baby/child to be dedicated, please submit one form per child.  Your requested Baby Dedication date is not confirmed until you have received confirmation from Miracle Temple Ministries Administration.

PARENT INFORMATION*

Use Mother's Address?

DATE OF DEDICATION*

Please note, completed Request Forms must be submitted 2 weeks before your desired/requested date.

CHILD/INFANT'S INFORMATION*

Sex of Child
Who will participate in the Baby Dedication Ceremony?

GOD-PARENT INFORMATION*

HOW DID YOU HEAR ABOUT MIRACLE TEMPLE MINISTRIES?

Upload Image File
Upload supported file (Max 15MB)

Thanks for submitting your request to have your child dedicated at Miracle Temple Ministries. We will be in touch soon.

You may also download and fill this form: 

Please return completed form to the Administrative Representative/Office at miracletempleministriesca@hotmail.com

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