Baby Dedication Electronic Form

Baby dedication is always the 3rd Sunday of each month.

1. Mother of baby (first and last name):
2. Father of baby (first and last name):
3. How are you connected to Harbor Light?

4. Do you regularly attend another church (at least once-a-month)?
     A. If Yes, please give us the name of the church:
     B. If Yes, please give us the pastor's name:
     C. If Yes, please give us the church's phone number:

5. Tell us about your relationship with God:

6. What actions will you take in your parenting to assure that your child will have the opportunity for the following: A healthy view of a loving God; increases in the knowledge of Jesus Christ; makes a decision to give their life to Christ?

7. Child's full name:

8. Date of birth:

9. City of birth:

10. Home address
City, State & Zip

11. Numbers where you can be reached:
     A. Home number:
     B. Work Number:
     C. Cell Number:
     D. The best number to reach me is

12. Grandfather's Name:

13. Grandmother's Name:

14. Your email address:

15. What month would you like the dedication to take place?

On the day of the dedication, please arrive at 10:00 am. We will reserve rows in the front section (just left of center as you face the stage) for your family and guests. How many total will be sitting with you?

Which Harbor Light Pastor would you like to officiate?

I have read "What is a Baby Dedication?"

You may attach picture of your child(ren) by clicking here:

The dedication follows worship and prayer. The officiating Pastor will present you with a certificate and a gift following the dedication. If you have any questions, please contact the Nursery Coordinator at 510-744-2282.

Thank you, Pastor Brent Way, Children's Pastor.

Enter the numbers as they
are shown in the image above

Harbor Light Church

Baby Dedication Information

Baby Dedication Electronic Form