Petition for the Baptism of an Adult
at Annunciation/Evangelismos Greek Orthodox Church in Elkins Park, PA, USA
I request for my baptism to take place on
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Month
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Day
Year
AM
PM
AM/PM Option
My full legal name (I will email a copy of my Birth Certificate to office@anngoc.org)
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My baptismal name (in English and in any other language)
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My telephone number
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My email address
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My home address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My mother’s legal name as it appears on my 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
My father’s legal name as it appears on my 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
Godparent’s full legal name
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Godparent' s date of birth
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Month
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Day
Year
Godparent' s place of birth (Town & Country)
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Godparent' s date of Orthodox baptism (please ask your godparent to email a copy of his/her Baptism or Chrismation Certificate to office@anngoc.org)
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Month
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Day
Year
Parish & City where baptized
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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
I affirm the information above is correct and understand the baptism date will not be finalized until my godparent and I submit all the requested documents above.
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