The Pentecostals of Mandeville
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The POA
Baby Dedication Information Form
Baby Dedication Service will be Sunday, October 25, 2026.
PLEASE SUBMIT FORM & 4-6 PHOTOS TO LACEYLYNE@HOTMAIL.COM
BY SUNDAY, OCTOBER 18.
Parent's Contact Information
Mother's First Name
Mother's Last Name
Father's First Name
Father's Last Name
Phone Number
Email Address
Baby's Information
First Name
Last Name
Middle Name
Birthdate
Gender
Male
Female
Birth Time
Birth Weight and Length (X lbs., X oz. | X" long)
Hospital Name
Birth City + State
SUBMIT