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Prayer Request

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What is your Prayer Request?

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Baby Dedication (Every 4th Sunday)

We are so excited that you chose Word of Life to present your child to be dedicated to the Lord. Baby Dedication Ceremonies are usually conducted on the 4th Sunday of each month excluding the month of December. Service begins at 11:00 am. Once your application is received, someone from our office staff will reach out to you to confirm availability.
If you have any questions, please call us at 678-937-9897

Mother's Name

First Last

Father's Name

First Last

Baby's Name

First Middle Last

Gender

Male

Female

Date of Birth

Hospital Name

God Mother's Full Name

God Father's Full Name

Upload a Image of your Baby to have displayed during the event. (Optional)

Accepted file types: png, gif, jpg, tif, pdf, Max. file size: 256 MB.

Requested Dedication date(4th Sunday of each month)(Required)

Baby dedications will be rescheduled this month and next due to a special service.

2nd Choice Dedication Date (4th Sunday of each month)(Required)

How many seats would you like to reserve for you and your guests?(Required)

Phone

Number

Email(Required)

Enter Email Confirm Email

Baptism

Your Name

First Last

Are you born again?

Yes, I am born again

No, I am not born again

Date

Describe your God changing moment

Phone

Email(Required)

Enter Email Confirm Email

Wedding

Groom's Name

First Last

Bride's Name

First Last

Date of Wedding

Phone

Email(Required)

Enter Email Confirm Email

Funeral

Our prayers and condolences are with you as you begin to plan the funeral services of your departed loved one. We recognize that this is a very difficult time and we are here to lend our assistance and guidance throughout this process. If you have any questions, please call us at 678-937-9897 or email us at info@wolicog.org

I. GENERAL INFORMATION

Date(Required)

Name Of The Deceased(Required)

First Last

Was The Desceased A Member?(Required)

Yes

Deceased Birthday(Required)

Deceased Death Date(Required)

II. PRIMARY CONTACT INFORMATION

Your Name(Required)

First Last

Your Phone Number(Required)

Email(Required)

Enter Email Confirm Email

Relation To The Deceased(Required)

III. FUNERAL SERVICE

Name Of Church/Chapel(Required)

Address Of Church/Chapel(Required)

Street Address Address Line 2 City State ZIP Code

Date OF Funeral(Required)

Time Of Funeral(Required)

IIII. BURIAL CEREMONY

Name Of Burial Site(Required)

Address Of Burial Site

Street Address Address Line 2 City State ZIP Code

Time(Required)

Name Of Funeral Home/Company Handling Funeral Arrangements(Required)

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Use the form below to connect with us!

Prayer Request

Baby Dedication (Every 4th Sunday)

Baptism

Wedding

Funeral

I. GENERAL INFORMATION

II. PRIMARY CONTACT INFORMATION

III. FUNERAL SERVICE

IIII. BURIAL CEREMONY

Prayer Request

Baby Dedication (Every 4th Sunday)

Baptism

Wedding

Funeral

I. GENERAL INFORMATION

II. PRIMARY CONTACT INFORMATION

III. FUNERAL SERVICE

IIII. BURIAL CEREMONY

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