Influencers
Baby Dedication
Select Your Campus
*
Gwinnett
Cumming
Kennesaw
Roswell
Father's Name
First Name
Last Name
Mother's Name
First Name
Last Name
Full Name Of Child
*
First Name
Last Name
Date of Birth
MM
DD
YYYY
Gender
Email Address
*
Contact Number
(###)
###
####
Number of Seats to Reserve for Family and Friends
Thank you!