Registration Form For Child Dedication 嬰孩奉獻禮登記表

Child Information

English Name 英文姓名

Chinese Name 中文姓名

Date of Birth 出生日期 dd-mm-yyyy

Birth Order (1st child, 2nd child, etc..) 排行第

Parent Information

Father's Last Name 父親姓

Father's First Name 父親名

Mother's Last Name 母親姓

Mother's First Name 母親名

Email 電郵

This address will receive a confirmation email

Home Phone 住宅電話

Mobile Phone 手提電話

Congregation 崇拜

English 英文堂 Mandarin 國語堂 Cantonese 粵語堂 (9:30am) Cantonese 粵語堂 (11:00am)

Remarks 備註

I consent to my (our) personal data being used by North York (Chinese) Baptist Church in accordance with the church Privacy Policy. 我同意讓北約華人浸信會根據教會的隱私條例使用我的（我們的）個人資料。

Agree 同意

North York (Chinese) Baptist Church 北約華人浸信會 Privacy Disclaimer 隱私免責聲明

Description

Please fill out this form and click submit.

Registration Form For Child Dedication 嬰孩奉獻禮登記表

Description

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