Petition for the Baptism of a Child
at Annunciation/Evangelismos Greek Orthodox Church in Elkins Park, PA, USA
We request the baptism of our child to take place on
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Month
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Day
Year
AM
PM
AM/PM Option
Child's full legal name (We will email a copy of our child's Birth Certificate to office@anngoc.org today):
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Child's baptismal name (In English and any other language):
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Mother’s legal name as it appears on the child's Birth Certificate:
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Mother’s date of birth:
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Month
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Day
Year
Mother’s place of birth (Town, State, & Country):
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Mother’s faith:
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Please Select
Eastern Orthodox
Oriental Orthodox
Roman Catholic
Episcopalian
Lutheran
Presbyterian
Protestant (other)
Other
Mother's telephone number:
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Mother's email:
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Father’s legal name as it appears on the Child's Birth Certificate:
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Father’s date of birth:
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Month
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Day
Year
Father’s place of birth (Town, State, & Country):
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Father’s faith:
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Please Select
Eastern Orthodox
Oriental Orthodox
Roman Catholic
Episcopalian
Lutheran
Presbyterian
Protestant (other)
Other
Father’s telephone number:
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Father's email:
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Parents' home address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Wedding date (if married):
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Month
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Day
Year
Parish & city where the wedding took place:
Name of Orthodox priest (minister or civil servant) who officiated at your wedding:
We are Sustaining Stewards of Annunciation/Evangelismos Church for 2024
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Yes
No, we will update our Stewardship at www.anngoc.org
Godparent’s full legal name:
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Godparent's date of birth:
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Month
/
Day
Year
Godparent's place of birth (Town & Country):
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Godparent's date of Orthodox baptism (I will email a copy of my Baptism or Chrismation Certificate to office@anngoc.org today):
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Month
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Day
Year
Parish & City where baptized:
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Are you related to the child, and how?
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Are you a godparent to another child?
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Yes
No
Godparent's marital status:
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Single
Married in the Orthodox Church (If yes, please email us a copy of your Ecclesiastical Marriage Certificate)
Divorced (If yes, please email us a copy of your Ecclesiastical Divorce Certificate)
Godparent's home address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Godparent’s email address:
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Godparent’s telephone:
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Godparent's home parish:
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Annunciation/Evangelismos, Elkins Park
Other. I will provide a Letter of Good Standing from my home parish
We affirm the information above is correct and understand the baptism date will not be finalized until we submit all the requested documents above.
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Mother's Signature
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Father's Signature
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