Baby Dedication Request | Refuge Temple Church Of God

If you would like your baby to be dedicated at Refuge Temple, please complete the Baby Dedication Form below. Once your form has been successfully submitted, you will receive an automatic confirmation email acknowledging receipt of your submission. As the dedication date approaches, a member of our team will contact you with additional details and next steps.

"Verily I say unto you, Whosoever shall not receive the kingdom of God as a little child, he shall not enter therein. And he took them up in his arms, put his hands upon them, and blessed them."— Mark 10:15–16 (KJV)

The final Baby Dedication Service for 2026 will be held on Sunday, November 22, 2026, at 9:45 a.m.

Christian Baby’s Dedication Request

Child's Full Name*

Child's Date of Birth*

Name /Location of Birth Hospital*

Gender*

Drop down and select your dedication date:*

Parent’s Name*

Parents’ status at Refuge Temple*

Home Address*

Phone Number*

Your Email*

Please leave this field blank.