GENERAL CONTACT INFORMATION

If you would like to have a baby/child dedicated at the Mount Olive Missionary Baptist Church, please complete and submit this form. At least one parent must be a member of the Mount Olive Missionary Baptist Church in order for the dedication to be performed. Please allow at least 10 days for processing.

Mother's Name(Required)
Is the Mother a member of MOMBC?
Father's Name
Is the Father a member of MOMBC?
DEDICATION INFORMATION
Child's Name
Gender
MM slash DD slash YYYY
Number of Guests
Untitled
MM slash DD slash YYYY
Untitled
MM slash DD slash YYYY