Please Complete the Form Below to Confirm Your Child’s Participation in our Baby Dedication Service on Sunday, May 13th!!

Are One or Both Parents Born Again Christian?
YesNoUnsure

Are You a Member of New Heights Church?
YesNo

Maternal Grandparent's Names

Paternal Grandparent's Names

Siblings Name(s)

Who Will Participate in the Baby Dedication Ceremony?
Both ParentsMother OnlyFather OnlyMaternal GrandparentsPaternal Grandparents