Captivate Church San Jose - Baby Dedication Sign Up

Captivate Church Baby Dedications

November 15, 2026 at 10:30am

Parent's First Name

Parent's Last Name

Parent's Email

Parent's Phone Number

Will you have godparents?

If *yes* please enter the godparents first and last name. If you said *no* just enter *no*

Child's First Name

Child's Last Name

Child's Gender

Child's Birthdate

Do we have your permission to take photos for our church media and social pages?