Every Year we have Quarterly Child Dedication as well as Baptism Services. These Services will be held on the months that have 5 Sundays in that month. Thus the name 5th Sunday. We know that these occasions are special and would love to have you and your extended family attend this monumental moment in your life. Please fill any of the forms that apply and we will add you to the list. A Certificate will be provided from ALCC. Be sure and apply with all the correct spellings and names that you wish to appear on the Certificate. You can Register for both if you are of age. If you have questions please email us at office@alcc.org. Thank You.

Child Dedication REGISTRATION Form

Parent Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Select a Date

Child to be Dedicated Info

Name

(as you want it to appear on the Certificate)

First Name

Last Name

Gender

Birth Date

YYYY

BAPTISM REGISTRATION

NAME OF PERSON BEING BAPTIZED

(as you want it to appear on the Certificate)

First Name

Last Name

Baptism Date

GENDER

BIRTHDATE

YYYY

Phone

(###)

###

####

Line

NAME OF PARENT (if under 18)

First Name

Last Name

PARENT PHONE

(###)

###

####

ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

RELATIONSHIP