Baby Dedication

PLEASE READ BEFORE COMPLETEING FORM

Once form is submitted, an administrator will contact you to confirm we have received Dedication request. Please make sure all information submitted are accurate. Kindly note, there is a $150.00 Administration fee for Non-Ambassadors.

Christening Date Requested *

Are you (The Parent) an Ambassador of Believers Embassy International? *

Yes
No

Child’s First, Middle & Last Name *

Child’s Date of Birth *

Child’s Age *

Mother’s First & Last Name *

Mother’s Marital Status *

Married
Single
Divorced

Mother’s Telephone Contact *

Father’s First & Last Name (copy) *

Father’s Marital Status *

Married
Single
Divorced

Father’s Telephone Contact (copy) *

Names of Godmothers (Please separate with a comma)

Names of Godfathers (Please separate with a comma)

Are you having any dispute with the father of the child? *

Yes
No

Is the father of the child welcome to the baby dedication? *

Yes
No

Why did you choose B.E.I. for the baby dedication? *

Who referred you to B.E.I. *

Do you know someone at B.E.I.? I yes please let us know the name of the person. *

Email *

Phone

Service Times

SuperNatural Sunday 7 a.m. | 8 a.m. | 10 a.m. | Monday Night Live 7:00p.m. | Saturday Morning Glory 6 a.m.

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