Greater Refuge Temple

Thank you for your interest in having Greater Refuge Temple officiate your child's christening. Your request will be reviewed by our church office, and someone will get back to you soon to confirm whether we can accommodate your requested date. Please note that we do not hold christenings on the first Sunday of each month due to our communion services.
Thank you for your understanding, and we look forward to assisting you with this special occasion.

Mother's First Name

Mother's Last Name

Father's First Name

Father's Last Name

Phone Number

Email

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Baby's First Name

Baby's Last Name

Birthdate

Age of Baby - Cannot be more than fourteen months old

Godmother's First Name

Godmother's Last Name

Godfather's First Name

Godfather's Last Name

Christening Date Request