Blessing Ceremony Registration Form

您的Legal Name:*

First

Last

您配偶Your Partner's Legal Name:

First

Last

您的聯繫電話 Your Contact Number:*

您的E-mail:*

您的地址 Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Your relationship with the temple 您與寺院之因緣:*

其他因緣 Others (Please specify):

您的孩子1的 Child 1 Legal Name:

First

Last

您的孩子2的 Child 2 Legal Name:

First

Last