NEW BIRTH REGISTRATION & NAMING
CEREMONY FORM
Child’s Firstname: Lastname:
Father's Firstname: Lastname:
Mother's Firstname: Lastname:
Address:
Home Phone: Cell:
Date of Naming Ceremony :
Time of Naming Ceremony :
Are you a member of RCCG Victory Temple Bowie. Yes: No:
_________________________________________________________________
Enter the numbers as they are shown in the image above