North Point Ministries BabyD Registration

Campus:

Father's Name:

First		Last

Mother's Name:

First		Last

Child's Name:

First	Middle	Last

Child's Name to be printed on Bible:

19 characters maximum

Date of Birth:

Gender:

Phone Number:

Address:

City:

State:

Zip:

Email:

(We will use to communicate confirmations and updates)

Baby Dedication Celebration Dates:

This date is NOT confirmed until you’ve attended an orientation.
We will hold it for you until after the last orientation before the celebration.

Orientation Dates:

Involvement with NPCC/BBCC/BC:
(select all that apply)

Member
Serving
Community Group