Child Dedication — First Moore Baptist Church

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

YYYY

Time of Birth:

Hour

Minute

Second

Weight:

Height: