Nan Tien Temple Baby Blessing and Baby Shower Ceremony Registration Form

Nan Tien Temple Baby Blessing and Baby Shower Ceremony Registration Form

Baby Blessing and Baby Shower Ceremony
Email
example@example.com
Where did you hear about this event?
Email Hidden

Confirmation Emailexample@example.com
Ceremony Date
Ceremony

Baby Blessing Ceremony

For Children
Baby's Full Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Nationality
Parent / Career 1 Name
Parent / Career 1 Nationality
Parent / Career 2 Name
Parent / Career 2 Nationality
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number
If you would like to include your baby’s face on the Certificate, please upload a recent photo

Cancelof

Baby Shower Ceremony

For Expectant Mums
Name

First NameLast Name
Nationality
Mobile Number

Declaration and Payment

*For baby shower and baby blessing ceremony.
By participating in the ceremony, you agree that all photographs taken by Nan Tien Temple can be used for promotional purposes.
Registration Fee $20

Registration Fee

$20.00 AUD

Enter coupon

Total

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: