Baby Christening Information Form

FEES:   Members: No Fees (must be an active member for six months prior to request)
Non-Members:  $50.00

Baby's Name:
Age:
Date of Birth:
Hospital Born:
City:
State:

Parent's Information

Parent Name:
Parent Name:
Home Phone Number:
Cell Phone Number:
Legal Marital Status:
Are you a member? Yes No
Membership date:
Number of Guest Expected to Attend:

“I, , verify that I have read the guidelines and understand that if there are any changes, I must notify Membership Services prior to the date of my baby’s christening.”