Baby Dedication Request Contact Name(Required) First Last State(Required) Contact Phone(Required)Contact Email(Required) Child's Name(Required) First Last Child's birthday(Required) Month Day Year Gender(Required)MaleFemaleMother's Name(Required) First Last Father's Name(Required) First Last Are the child's parents married to one another?(Required)YesNoDo the child's parents reside in the same household?(Required)YesNoMother's relationship status(Required)SingleMarriedDivorcedFather's relationship status(Required)SingleMarriedDivorcedWith whom does the child reside?(Required)Both ParentsMotherFatherGuardianAre either parents a member of Destiny Church?(Required)YesNoIs a grandparent of the child a member of Destiny Church?(Required)YesNoPlease list as best you can all significant people who will be present at the Baby Dedication and their role in the child's life.(Required)Is there any additional information you think is important for us to know about your family situation?(Required)