Child Dedication — First Moore Baptist Church

Child Dedication.jpg

Our next child dedication is January 27! (Register before January 13.)

Please complete the form below. If you have any questions, contact Michele White by e-mail or by phone (405) 735-2530.

Parent's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Time of Birth:

Hour

Minute

Second

Weight:

Height: