Holman Street Baptist Church of Houston TX

Baby's Full Name*
Baby's Birthdate*
MM/DD/YYYY
Hospital
Weight of Baby*
Lbs. & oz.
Mother's Name*
Father's Name*
Your Email
Parent's Address*
Street Address Address Line 2 City State ZIP Code
Are the parents members of Holman Street Baptist Church?*
Are the parents married?*
Parent Phone
Preferred Date*
Date Format: MM slash DD slash YYYY

Please choose a Sunday that works best for the baby dedication.
Preferred Date*
Date Format: MM slash DD slash YYYY

Please choose a second option that works best for the baby dedication.
Godmother's Name*
First Last
Godmother's Address
Street Address Address Line 2 City State ZIP Code
Godmother's Phone Number
Godfather's Name
First Last
Godfather's Address
Street Address Address Line 2 City State ZIP Code
Godfather's Phone Number

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