Baby Naming Form

BABY NAMING REQUEST FORM
Family Details
Mother's Details *

First NameSurname
Father's Details*

First NameSurname
Any previous Surname if applicable
Contact Mobile Number 1*
Please enter Mother's phone number
Contact Mobile Number 2*
Please enter Father's phone number
Email*
example@example.com
Home Address*

Street Address

Street Address Line 2

City/TownCounty

Post Code
Membership Details
How long have you been a member of JHB church? *
Are you born again? If yes, how long?*
Are you a Volunteer/Worker? If yes what team/department?*
Are you a member of Connect Group? If yes, which cluster do you belong?*
Please give the names of the baby and their meaning:
1.*
What is the proposed date of Naming Ceremony? (Please note that preferred date cannot be guaranteed)*

MonthDayYear
Date
What is the proposed date of Baby Dedication? If applicable. (Please note that preferred date cannot be guaranteed)

MonthDayYear
Date
Should be Empty:

BABY NAMING REQUEST FORM