Body of Christ Assembly Baby Blessing Form

Please fill out this form and click submit. Someone will contact you regarding your request.

Child's Information - Child must be at least 3 months of age by the date of the requested Baby Blessing.

Today's date:

*

Requested Baby Blessing date:

*

Your First Name and Last Name

*

Your Relationship to Child:

*

Please select one option.

Parent Legal Guardian Grand Parent Sibling Other

The child's certificate will be mailed to this address.

Address

*

Your Email

*

This address will receive a confirmation email

Please enter the child's information. This information will be displayed on the certificate.

Name

*

Gender

*

Please select one option.

Female Male

Birthdate

*

Parent's Information - Shown on Certificate

At least one parent name is required. If only one parent will be listed on the certificate, enter 'Do not display' in the box for the parent that will not be displayed.

Mother's First, MI, Last Name

*

Father's First, MI, Last Name

*

Who may we contact to confirm Blessing and date?

First Name, Last Name

*

Relationship to the child:

*

Please select one option.

Parent Legal Guardian Grand Parent Sibling Other

Phone

*

Is the number above your...

*

Please select one option.

Cell Home Work

Baby Blessings take place on the 1st Sunday of each month following Communion Service. Form must be submitted at least two weeks prior to Requested Blessing Date.

Description

Please fill out this form and click submit. Someone will contact you regarding your request.

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