1. For W only : Date of birth for child _____/_____/______ Time of birth: ______:______ am pm
Day of week M T W T F S S
2. For CA only: age of Child: _________years old
3. For Crossing ove onlyr: Date of Death: ______/______/______
4. For Handfasting only: Name of both parties: 1)_________________________________________________
2)_________________________________________________
Ages for both parties: 1) ___________/____________/ ______
2)___________/____________/______
5. For all: Date you want this to happen:______/ ________/ __________
6. For all : Location for event: City: ______________________________ State:_____________ Zip: _______
Mail : po box 209 newcomerstown, ohio 43832
e-mail: [email protected]
Questions call: 740-498-7196