Baby Dedication Form

AACTS Baby Dedication Request Form

Date *

Parent's Information

Mother's Name *

Father's Name *

Email *

Phone *

Address

City

State

Zip

Marital Status: *

Child's Information

Child's Full Name *

Date of Birth *

Gender *

Hospital where child was born:

Requested Month of Dedication:

Second Option:

Are one or both parents born again Christians?

Are one or both parents members of AACTS International Ministry?

Godparent's Information

Godmother's Name

Godfather's Name

Who will participate in the Baby Dedication Ceremony?

Remarks

Message *