Record Of Baptism - Child
Please fill out this form and click submit.
Full Name of the Baptized
*
Saints Name
*
Parents Email
*
This address will receive a confirmation email
Parents Phone
*
Male / Female
*
Please select all that apply.
Male
Female
Date of Birth
*
Date of Baptism
*
Place of Birth (City, State)
*
Fathers Full Name
*
Mothers Full Name (MAIDEN)
*
Sponsor Information
Orthodox Sponsor (Required)
*
Second Sponsor (Not Required)
Is your second sponsor
Please select all that apply.
Orthodox
Non-Orthodox
Address your Baptism Certificate will be mailed to.
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Service Information
Would you like to arrange or have the church arrange a Chanter?
*
Please select one option.
We will secure a Chanter
The church will secure a Chanter
Select Option
We will secure a Chanter
The church will secure a Chanter
If you are supplying the Chanter, please list the name(s) here.
Would you like to arrange or have the church arrange the Epistle Reader?
*
Please select one option.
We will secure an Epistle Reader.
The church will secure an Epistle Reader.
If you are supplying the Epistle Reader, please list the name(s) here.
Would you like any additional Clergy to be invited? If so, please list them below.
Submit
Description
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