New Customer Registration Form

YAHWEH CHRISTIAN FELLOWSHIP

Baby Dedication Form
Details of Parents / Guardian / Carer *

First NameLast Name
Address*

Street Address

Street Address Line 2

TownState / Province

PostCodeCountry
Phone Number*
E-mail*
example@example.com
Are you a Member of this Church?*

YESNO
Are you a Christian?*

YESNO
Will you be having godparents?*

YESNO
Please note: All Christenings take place on the 2nd Sunday of the Month, so please choose two potential dates. We will do our best to accommodate your preferred date, but it is dependent on availability.
Preferred Date(s) for Christening - DATE 1*

DayMonthYear
Date
Preferred Date(s) for Christening DATE 2*

DayMonthYear
Date

Full names of Child/Children*

MEDICAL: Please indicate indicate if your child (children) has any specific health challenges or medical requirements which need to be taken into consideration on the day.*

YesNo
If yes please state:
VISITORS*

0-2020-3030-5050-100
PAYMENT DETAILS for Non Members

Please note the proposed christening will only be confirmed once the date has been agreed by the admin office and payment has been received.

Yahweh Christian Fellowship bank details:

Sort code: 30-12-95 Account no: 00080482

Please use ‘christening’ as a payment reference with your initials.

Example: “S.M. Christening”

Alternatively, you can make a payment via the payment options below;

Please complete payment before pressing the submit button.
Baby Dedication
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Baby Dedication£35 per child
£35.00 Quantity
DECLARATION (signed by all applicants) By signing, I confirm that I have provided accurate information regarding the child / children to be christened and have the authority to put the child forward for such a christening.
I have read the Christening Letter and understand that it is possible that one child from a different family may also be christened within the same service.*

Yes I agree
Signature*

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Signature

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Date

DayMonthYear
Date
Payment Options

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

YAHWEH CHRISTIAN FELLOWSHIP