Baby Blessing Ceremony
Date & Time: 11:00am, Sunday, 21st Feb 2021
Venue: Bodhisattva Hall 中天寺圓通寶殿
1034 Underwood Road, Priestdale QLD 4127, Tel: 07 3841 3511
Email: info@fgschungtian.org.au Web: www.chungtian.org.au
Baby's Name 寶寶姓名 *
Date of Birth 生日 *
MM
/
DD
/
YYYY
Gender 性別 *
Nationality 國籍
Mother's Name 母親姓名 *
Tel / Mobile 電話 *
Email *
Mother's Occupation 母親的職業
Father's Name 父親姓名 *
Tel / Mobile 電話
Email
Father's Occupation 父親的職業
Address 地址
Payment ($20 / per child) 付款方式 *
Registration Fee is required 7 days prior to the date of the Blessing Ceremony.
Declaration
I understand that there will be filming and usage of media during my baby/child(ren)/minor(s)’ participation of the Baby Blessing Ceremony organized by Chung Tian Temple.
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