Adult Baptism

Please complete this form and submit at least 4 weeks before the sacrament

Adult Information

Name as it appears on Birth Certificate

Baptismal Name

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Place of Birth (City & State)

Date of Birth

YYYY

Parent's Information

Father's Name

Father's Place of Birth (City & State)

Mother's Name (including Maiden Name)

Mother's Place of Birth (City & State)

Godparent(s) Information

The Godparent(s) MUST be an Orthodox Christian(s) in good standing with his/her parish. If the Godparent(s) is (are) a member of another Orthodox parish, the parish Priest must send us a letter in Good Standing, at least 10 days before the Baptism, stating that the Godparent(s) is (are) a member in good standing, both spiritually and financially. (Has been married in the Orthodox Church, or if divorced, has received an Ecclesiastical Divorce, etc.)

Godparent(s) Legal & Baptismal Name

Members of which Parish (Church Name along with City & State)

Godparent(s) Marital Status

Single

Married

Divorced

Widowed