2026 Baby/Child Dedication Form

This is the form for this years Baby/Child Dedication ceremony on Sunday, January 18, 2026 at 10:30am. If you would like to dedicate your child/children, please fill this form out and also email a picture of your child to lucas@10milechurch.org
Thank you and God bless!

Parent(s) Name

Parent First Name

Parent Last Name

Parent First Name

Parent Last Name

Phone Number

Child 1 Name

Child 1 First Name

Child 1 Last Name

Birthdate

Child 2 Name

Child 2 First Name

Child 2 Last Name

Birthdate

Child 3 Name

Child 3 First Name

Child 3 Last Name

Birthdate

Child 4 Name

Child 4 First Name

Child 4 Last Name

Birthdate

Child 5 Name

Child 5 First Name

Child 5 Last Name

Birthdate

Sibling(s)

Sibling First Name

Sibling Last Name

Sibling First Name

Sibling Last Name

Sibling First Name

Sibling Last Name

Sibling First Name

Sibling Last Name

Sibling First Name

Sibling Last Name

2026 Baby/Child Dedication Form

Parent(s) Name

Child 1 Name

Child 2 Name

Child 3 Name

Child 4 Name

Child 5 Name

Sibling(s)

TEN MILE BAPTIST CHURCH

MAILING ADDRESS AND PHONE

11725 Ten Mile Road
McLeansboro, IL 62859

(3 miles west of McLeansboro)

Church Office : (618) 643 - 3946

Fax : (618) 643 - 2579

Office hours : Mon - Thurs 8:30 - 5pm (Closed holidays)

Office E-mail : office@tenmilebaptistchurch.org