Saturday Baby Dedication

On Saturday, February 4, at 4:00 PM in the G.A. Mangun Center Auditorium of The Pentecostals of Alexandria, we will host our February POA Baby Dedication Service.

This is a gathering specially designed for the children being dedicated and their families. It is a wonderful opportunity for our pastoral team to celebrate each family involved in the dedication service.

To Participate, please complete and submit the registration form below.

Deadline to register is Sunday, January 29.

Parent's Information

Mother's First Name

Mother's Maiden Name

Mother's Last Name

Mother's Parents' Names

Father's First Name

Father's Last Name

Father's Parents' Names

Child's Information

Child's First Name

Child's Middle Name

Child's Last Name

Child's Gender

Male
Female

Child's Date of Birth

Check here if you have another child you would like to have dedicated (2).

Reserved Seating

In the space below, please select the approximate number of reserved seats for parent and/or family members. You will be assigned seating in the order that you register for baby dedication.

Number of seats requested

Contact Information

Contact Number

Country

Address

City, State and ZIP Code

Almost done, where should we send the confirmation?

Name

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