Fo Guang Shan Chung Tian Temple Baby Blessing Registration Form (Date of Ceremony _________) Full M Gender Age Name F Date of Birth D M Y Place of Birth Nationality Tel Address Fax Mother’s Details Father’s Details Name Name Date of Birth Date of Birth Place of Birth of Birth Occupation Occupation Email Email Registration Fee: $20.00 Processed by Date Fo Guang Shan Chung Tian Temple Baby Blessing Registration Form (Date of Ceremony _________) Full M Gender Age Name F Date of D M Y of Birth Nationality Tel Address Fax Mother’s Details Father’s Details Name Name Date of Birth Date of Place of Birth Place of Birth Occupation Occupation
Fo Guang Shan Chung Tian Temple Baby Blessing Registration Form (Date of Ceremony _________) Full Name Gender M F Age Date of Birth D M Y Place of Birth Nationality Address Tel Fax Mother’s Details Father’s Details Name Name Date of Birth Date of Birth Place of Birth of Birth Occupation Occupation Email Email Registration Fee: $20.00 Processed by Date Fo Guang Shan Chung Tian Temple Baby Blessing Registration Form (Date of Ceremony _________) Full Name Gender M F Age Date of D M Y of Birth Nationality Address Tel Fax Mother’s Details Father’s Details Name Name Date of Birth Date of Place of Birth Place of Birth Occupation Occupation
regform_Baby_Nov2017.docx