Form Christening Request Form Requested Date of Christening*(please do not choose the 1st Sunday of any month) Date Format: MM slash DD slash YYYY Member*I’m a member of New ShilohI’m not a member of New ShilohChild's Name* First Last Child Date of Birth* Date Format: MM slash DD slash YYYY Father's Full Name First Last Mother's Full Name First Last Parent Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Parent Phone*Godfather's Name First Last Godmother's Name First Last SignatureDigital Signature*By typing in your full name below, you agree to use this as your digital signature Δ
