LeadUS Mentoring Program 2015-16

გთხოვთ შეავსოთ შემდეგი ფორმა ნათლობის მომწმობისათვის.

პატრიარქის კურთხევით მხოლოდ 2 ნათლიას შეუძლია მონათლოს ადამიანი.

ნათლიები უნდა იყვნენ 16 წლის ან მეტი.

ნათლია უნდა იყოს იგივე სქესის რაც ნათლულია.

Please fill the form to complete baptism certificate.

Only two Godparents are allowed per baptized person.

Godparents should be 16 years or older.

Godparents should be same gender as baptized.

უფალმა დაგლოცოთ! God Bless you.
Personal Information of Baptized
Name of Baptized*

Baptism NameOfficial First NameLast Name
Gender of Baptized*

MaleFemale
Birth Date of Baptized*

YearMonthDay
Parent/Baptized E-mail*
example@example.com
Parent/Baptized Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Baptism Date*

YearMonthDay
Parents and Godparents Information
Parents are:

MarriedDivorcedNever married
Godparent 1 Full Name*

First NameLast Name
Godparent 1 Birthday*

YearMonthDay
Godparent 2 Full Name

First NameLast Name
Godparent 2 Birthday

YearMonthDay
Father's Full Name*

First NameLast Name
Father's Cell Phone*

Area CodePhone Number
Mother's Full Name*

First NameLast Name
Mother's Cell Phone*

Area CodePhone Number
Submission
Is there any other information that you would like to share with us?
By submitting this form, I acknowledge that the provided information will be used solely for church purposes in relation to the baptism ceremony. I understand that the baptism certificate issued is only a document confirming the baptism and does not entail any liabilities or warranties from the church or the officiating priest. I agree to provide this information voluntarily for the purpose of the baptism ceremony.*

Yes, I agree / Understand
Should be Empty:

Personal Information of Baptized

Parents and Godparents Information

Submission