Baby Dedication Home 5 GMBC Resources 5 Forms 5 Baby Dedication Child's Name(Required) First Middle Last Child's DOB(Required) MM slash DD slash YYYY City of Birth State of BirthState of BirthAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificSection BreakMother's Name(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Alternate Phone Section BreakFather's Name First Middle Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneAlternate Phone Section BreakMaternal Grandmother Maternal Grandfather Paternal Grandmother Paternal Grandfather Godmother Godfather Please check all who are members of Galilee. Mother Father Maternal Grandmother Maternal Grandfather Paternal Grandmother Paternal Grandfather Godmother Godfather Other Please select the date you wish to hold your dedication.(Required) MM slash DD slash YYYY Second choice(Required) MM slash DD slash YYYY Contact Email Address(Required) Membership Services Realm Forms Quick Links GMBC Resources Speaking Request Form