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OUR LOCATION

4777 Lakeland Highlands Road
Lakeland, FL 33813

Phone: 863.647.3518
Fax: 863. 646.7738

 

OFFICE HOURS

Monday - Thursday
8:00 AM to 5:00 PM
Fridays
8:00 AM to 12:00 PM
Closed on Holidays

Baby Dedication

Interested in dedicating your child(ren)? Please fill our the form below and Tiffany Virts, HP Kids Coordinator, will contact you.

Father's Name
Father's Name
Mother's Name
Mother's Name
Phone *
Phone
Please enter the First, Middle, and Last name of your child
Date of Birth
Date of Birth
Date Requested for Dedication *
Date Requested for Dedication
Please list your First Choice
Please list your Second Choice
This will be the service in which your dedication takes place.