Parent 1 * First Name Last Name Parent 2 First Name Last Name Main Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Contact Number * Child's Full Name * Child's Date of Birth * MM DD YYYY Hospital Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred Date of Dedication * MM DD YYYY God Parent 1 * First Name Last Name God Parent 2 * First Name Last Name God Parent 3 First Name Last Name God Parent 4 First Name Last Name Photos and Video * Are you planning on hiring a photographer and/or videographer Yes No Photographer/Videographer Details Expected Number of Guests * Thank you for submitting your request for your baby to be dedicated here at NTCG Harvest Temple.A member from our team will be in touch soon.